57J-30519-98589
4 vaccinations
2 coded responses
40 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 781 / TX
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Pfizer-BioNTech
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Pfizer-BioNTech
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Chills, Muscle or body achesAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Asthenia, Chills, Pain, Paranasal sinus discomfort — Feeling: Fair · Be unable to work or attend schoolFree text: Weak, body ache, sinus pressure, chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-20
Dose 3 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-21
- 2022-07-21
-
2022-11-20
Dose 4 — Pfizer-BioNTech
-
2022-11-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fever · NoneAdult check-in
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-11-26
- 2022-11-27
- 2022-12-04
- 2022-12-11
- 2022-12-18
- 2022-12-25
- 2023-01-01
- 2023-02-19
-
2023-05-21
Survey response — 6 months, dose 4MedDRA: Diabetes mellitus, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-21
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2022-01-20 | Pfizer-BioNTech | No |
| 4 | 2022-11-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-05-21 | Unsuccessful |
Free text
Release 10 — 6 months, dose 2
Symptoms: Weak, body ache, sinus pressure, chills
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release