5R4-14423-67681
3 vaccinations
1 coded response
20 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 761 / TX
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8YG-31529-63984
Child or adolescent in my care · Male · 2022-07-19
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 2 — Pfizer-BioNTech
- 2021-04-30
- 2021-05-01
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
-
2021-05-28
Survey response — day 28, dose 2MedDRA: Cough, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Head and chest congestion with a wet cough · Healthcare visit (other): This appointment is actually scheduled for 6/2/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-04
- 2021-06-11
- 2021-08-01
- 2021-10-29
-
2021-12-15
Dose 3 — Pfizer-BioNTech
- 2022-01-20
- 2022-01-26
- 2022-03-16
- 2022-05-06
- 2022-06-15
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-28 | Unsuccessful |
Free text
Release 8 — day 28, dose 2
Symptoms: Head and chest congestion with a wet cough
Healthcare visit (other): This appointment is actually scheduled for 6/2/2021
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release