AVQ-11090-72147
3 vaccinations
2 coded responses
33 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 800 / CO
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-02
Registered in v-safe
- 2021-02-02
- 2021-02-03
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-20
Dose 2 — Pfizer-BioNTech
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Cough, Smoke sensitivity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, but likely related to wildfire smokeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-10
Dose 3 — Pfizer-BioNTech
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-16
- 2022-01-21
- 2022-03-11
- 2022-06-12
-
2022-12-10
Survey response — 12 months, dose 3MedDRA: Anisomastia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Focal asymmetry in left breast, follow up pendingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-10
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-12
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Cough, but likely related to wildfire smoke
Release 12 — 12 months, dose 3
Symptoms: Focal asymmetry in left breast, follow up pending
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 | Anisomastia | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Smoke sensitivity | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release