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5KN-58819-00247

4 vaccinations 1 coded response 14 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
662 / KS
Registered
2021-09-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-29
    Registered in v-safe
  4. 2021-10-13
    Dose 3 — Pfizer-BioNTech
  5. 2021-10-24
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-10-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-11-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  8. 2021-11-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  9. 2021-11-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  10. 2021-11-24
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  11. 2022-01-12
    Survey response — 3 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Covid positive
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-01-12
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-01-17
  14. 2022-04-13
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-10-13
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-10-20
    Dose 4 — Pfizer-BioNTech
  17. 2022-10-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  18. 2022-10-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  19. 2022-10-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  20. 2023-01-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  21. 2023-04-20
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Pfizer-BioNTech No
22021-01-12Pfizer-BioNTech No
32021-10-13Pfizer-BioNTech No
42022-10-20Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-12 Unsuccessful

Free text

Release 10 — 3 months, dose 3

2022-01-12

Symptoms: Covid positive

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release