7WS-29585-23909
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 913 / CA
- Registered
- 2021-07-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
66R-22332-79485
Adult relative or friend · Male · 2021-07-10
LSZ-28031-12229
Child or adolescent in my care · Male · 2021-07-10
UH2-18862-62882
Adult relative or friend · Male · 2021-07-10
UPL-28634-98520
Child or adolescent in my care · Male · 2021-12-12
Timeline
-
2021-05-18
Dose 1 — Pfizer-BioNTech
-
2021-06-08
Dose 2 — Pfizer-BioNTech
-
2021-07-10
Registered in v-safe
- 2021-07-10
- 2021-07-13
- 2021-07-20
- 2021-09-09
-
2021-12-10
Dose 3 — Pfizer-BioNTech
- 2021-12-12
- 2021-12-12
- 2021-12-13
- 2021-12-16
- 2021-12-18
- 2021-12-24
- 2022-01-01
- 2022-01-16
-
2022-03-11
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia — 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, Emergency room or emergency department visitFree text: headache, fever, fatigue, body aches, dry cough, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-03-11
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-15
- 2022-06-11
-
2022-12-12
Survey response — 12 months, dose 3MedDRA: Cough, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: coughing · Healthcare visit (other): noneMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-13
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Pfizer-BioNTech | No |
| 2 | 2021-06-08 | Pfizer-BioNTech | No |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-11 | Unsuccessful | |
| 2022-12-12 | Unsuccessful |
Free text
Release 11 — 3 months, dose 3
Symptoms: headache, fever, fatigue, body aches, dry cough, sore throat
Release 12 — 12 months, dose 3
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 | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release