7B8-30646-38367
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 027 / MA
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CXJ-19760-92049
Child or adolescent in my care · Female · 2022-06-29
NF8-26207-41353
Child or adolescent in my care · Male · 2022-07-13
Timeline
-
2020-12-19
Registered in v-safe
-
2020-12-19
Dose 1 — Pfizer-BioNTech
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-28
-
2021-01-02
Survey response — day 14, dose 1MedDRA: Cough — Feeling: FairFree text: Dry coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Survey response — day 21, dose 1MedDRA: COVID-19, Cough, Hypogeusia, Hyposmia, Respiratory tract congestion — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: COVID-19. Cough, congestion, diminished smell and tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — day 21, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-13
Dose 2 — Pfizer-BioNTech
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-26
-
2021-01-26
Call successfulCompleted over the phone
-
2021-01-26
Call successfulCompleted over the phone
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-04-14
Survey response — 3 months, dose 2MedDRA: Postpartum haemorrhage — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Postpartum hemorrhageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-14
-
2021-10-18
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-01-13
-
2022-09-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-16
- 2022-10-23
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-28 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Successful 2021-01-26 |
Completed over the phone |
| 2021-01-14 | Successful 2021-01-26 |
Completed over the phone |
| 2021-04-14 | Successful 2021-04-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 14, dose 1
Symptoms: Dry cough
Release 1 — day 21, dose 1
Symptoms: COVID-19. Cough, congestion, diminished smell and taste
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Cough, congestion
Release 7 — 3 months, dose 2
Symptoms: Postpartum hemorrhage
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Hypogeusia | ✓ | ✓ | ✓ |
| SD | Hyposmia | ✓ | ✓ | ✓ |
| SD | Postpartum haemorrhage | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release