BRP-11373-74521
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 626 / IL
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KEM-20636-87278
Adult relative or friend · Male · 2021-11-16
FE2-28109-84936
Child or adolescent in my care · Male · 2021-11-18
BL2-14427-12389
Child or adolescent in my care · Male · 2021-11-18
Timeline
-
2021-04-15
Dose 1 — Pfizer-BioNTech
-
2021-04-16
Registered in v-safe
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal discomfort — Feeling: Good · Site: Pain · FeverFree text: Cold throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 21, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Dose 2 — Pfizer-BioNTech
- 2021-05-13
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-18
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
- 2021-11-11
-
2021-11-16
Dose 3 — Pfizer-BioNTech
-
2021-11-16
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Abdominal painAdult check-in
- 2021-11-18
- 2021-11-19
- 2021-11-21
- 2021-11-22
- 2021-11-24
- 2021-11-30
- 2021-12-11
- 2021-12-16
- 2021-12-21
-
2021-12-28
Survey response — day 42, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: FairFree text: Sore throat, cough, stuffy noseMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Survey response — 3 months, dose 3MedDRA: Headache, Myalgia, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, stuffy nose, fever, muscle and headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
-
2022-11-16
Survey response — 12 months, dose 3MedDRA: Conjunctivitis, Nasopharyngitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold symptoms and conjunctivitis during last 5 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-11-16
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)
-
2022-11-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-12 | Pfizer-BioNTech | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Cold throat
Release 8 — day 21, dose 1
Symptoms: Sore throat
Release 10 — day 42, dose 3
Symptoms: Sore throat, cough, stuffy nose
Release 11 — 3 months, dose 3
Symptoms: Sore throat, stuffy nose, fever, muscle and headache
Release 12 — 12 months, dose 3
Symptoms: Cold symptoms and conjunctivitis during last 5 days
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 | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release