AF3-16049-96499
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 454 / OH
- Registered
- 2021-06-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-14
Dose 1 — Pfizer-BioNTech
-
2021-06-16
Registered in v-safe
- 2021-06-16
- 2021-06-18
- 2021-06-19
- 2021-06-20
- 2021-06-21
- 2021-06-28
- 2021-07-05
-
2021-07-06
Dose 2 — Pfizer-BioNTech
- 2021-07-06
-
2021-07-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-07-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-07-09
- 2021-07-10
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-20
- 2021-07-27
- 2021-08-03
- 2021-08-10
- 2021-08-17
- 2021-10-05
-
2022-01-04
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Nasopharyngitis, Pain, Respiratory tract congestion — Feeling: GoodFree text: Common cold symptoms (congestion, headache, fatigue, aches) likely due to child contracting RSV and other winter virusesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Dose 3 — Pfizer-BioNTech
-
2022-01-21
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Lower back painMedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2022-01-23
- 2022-01-24
- 2022-01-25
- 2022-02-01
- 2022-02-08
- 2022-02-15
- 2022-02-22
- 2022-03-01
- 2022-04-19
- 2022-07-19
-
2022-11-29
Dose 4 — Moderna
-
2022-12-19
Survey response — day 14, dose 4MedDRA: Gingival recession, Stress fracture — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stress fractures, receding gumMedDRA releases: 2024-11 · check-in free text available
-
2022-12-19
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-20
- 2022-12-20
-
2022-12-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-29
- 2023-01-03
- 2023-01-10
- 2023-03-02
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-14 | Pfizer-BioNTech | |
| 2 | 2021-07-06 | Pfizer-BioNTech | No |
| 3 | 2022-01-18 | Pfizer-BioNTech | No |
| 4 | 2022-11-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — 6 months, dose 2
Symptoms: Common cold symptoms (congestion, headache, fatigue, aches) likely due to child contracting RSV and other winter viruses
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Lower back pain
Release 12 — day 14, dose 4
Symptoms: Stress fractures, receding gum
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 | Fatigue | · | · | ✓ |
| SD | Gingival recession | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Stress fracture | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release