839-21553-18982
3 vaccinations
4 coded responses
9 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2022-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-21
Dose 1 — Pfizer-BioNTech
-
2021-05-13
Dose 2 — Pfizer-BioNTech
-
2022-01-06
Dose 3 — Moderna
-
2022-01-18
Registered in v-safe
- 2022-01-18
- 2022-01-20
- 2022-01-27
- 2022-02-03
-
2022-02-10
Survey response — day 35, dose 3MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID-19MedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
Survey response — day 42, dose 3MedDRA: Complication of pregnancy, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Pregnancy complications · Healthcare visit (other): Labor and deliveryMedDRA releases: 2024-11 · check-in free text available
-
2022-02-17
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-02-22
-
2022-04-08
Survey response — 3 months, dose 3MedDRA: Influenza like illness — Feeling: FairFree text: Flu-like illnessMedDRA releases: 2024-11 · check-in free text available
- 2022-07-09
-
2023-01-08
Survey response — 12 months, dose 3MedDRA: Respiratory disorder, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Pfizer-BioNTech | No |
| 2 | 2021-05-13 | Pfizer-BioNTech | No |
| 3 | 2022-01-06 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 35, dose 3
Symptoms: COVID-19
Release 11 — day 42, dose 3
Release 11 — 3 months, dose 3
Symptoms: Flu-like illness
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 | Office visit | · | · | ✓ |
| SD | Complication of pregnancy | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release