738-12551-39313
4 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 945 / CA
- Registered
- 2020-12-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KF9-27350-26329
Child or adolescent in my care · Female · 2022-06-28
XAB-28899-95002
Child or adolescent in my care · Female · 2022-06-28
KZF-78382-98489
Child or adolescent in my care · Male · 2022-06-28
ZM8-24035-06758
Child or adolescent in my care · Male · 2022-06-28
Timeline
-
2020-12-19
Dose 1 — Pfizer-BioNTech
-
2020-12-20
Registered in v-safe
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2021-01-02
-
2021-01-09
Dose 2 — Pfizer-BioNTech
- 2021-01-09
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-04-11
- 2021-07-10
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2022-09-30
Dose 4 — Moderna
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-01
Survey response — 12 months, dose 3MedDRA: Arthralgia — Feeling: FairFree text: Joint aches/painsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Survey response — day 7, dose 4MedDRA: Cough, Respiratory tract congestion, Sinusitis — Feeling: Fair · Fever · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, sinusitis, cough started a day after booster and continuesMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Report sent to call center — day 7, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-09 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-09 | Unsuccessful |
Free text
Release 12 — 12 months, dose 3
Symptoms: Joint aches/pains
Release 12 — day 7, dose 4
Systemic reaction (other): Congestion, sinusitis, cough started a day after booster and continues
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 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release