CCE-23423-26609
4 vaccinations
5 coded responses
33 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
HSA-16186-78173
Child or adolescent in my care · Male · 2022-09-14
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Pfizer-BioNTech
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-22
- 2021-04-29
-
2021-05-06
Dose 2 — Pfizer-BioNTech
- 2021-05-06
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Self-medication — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Felt feverish last night but Tylenol helpedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-15
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-12
- 2021-06-17
- 2021-08-05
- 2021-11-04
-
2021-11-08
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-05-09
Survey response — 6 months, dose 3MedDRA: Chills, Gastroenteritis viral, Pain, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach bug that included vomiting, fever, chills, achesMedDRA releases: 2024-11 · check-in free text available
-
2022-09-13
Dose 4 — ModernaCo-administered: Flu
-
2022-09-15
Survey response — days 1–6 daily, dose 4MedDRA: Chest pain, Emergency care, Pain, Pneumonitis — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Yesterday I had chest pains and went to the ER. They diagnosed inflammation in my lung, but today the pains are gone.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-15
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-09-16
- 2022-09-16
-
2022-09-16
Call successfulCompleted over the phone
- 2022-09-17
- 2022-09-19
- 2022-09-20
-
2022-09-28
Survey response — day 14, dose 4MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Pre-existing disease — Feeling: GoodFree text: Just a sore throat, which I think is due to seasonal allergies and sinus drainage, but wanted to mention it just in caseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-13
- 2022-10-18
- 2022-10-28
- 2022-12-13
-
2023-03-14
Survey response — 6 months, dose 4MedDRA: Office visit, Pre-existing disease, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-14
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech | |
| 3 | 2021-11-08 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-13 | Moderna | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Felt feverish last night but Tylenol helped
Release 11 — 6 months, dose 3
Symptoms: Stomach bug that included vomiting, fever, chills, aches
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday I had chest pains and went to the ER. They diagnosed inflammation in my lung, but today the pains are gone.
Release 12 — day 14, dose 4
Symptoms: Just a sore throat, which I think is due to seasonal allergies and sinus drainage, but wanted to mention it just in case
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 | Chills | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pneumonitis | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release