CNS-20174-52184
4 vaccinations
3 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 136 / NY
- Registered
- 2021-11-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2Y9-86764-84656
Child or adolescent in my care · Female · 2022-09-23
J55-14965-77539
Child or adolescent in my care · Female · 2022-09-23
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Dose 2 — Pfizer-BioNTech
-
2021-11-11
Dose 3 — Pfizer-BioNTech
-
2021-11-18
Registered in v-safe
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: Gastroenteritis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: GastroenteritisMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-13
-
2022-09-16
Dose 4 — Pfizer-BioNTech
-
2022-09-23
Health check-in — day 7, dose 4Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-30
- 2022-10-09
-
2022-10-14
Survey response — day 28, dose 4MedDRA: Abdominal pain upper — Feeling: GoodFree text: Stomach pain worsening, likely unrelatedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-12-18
-
2023-03-17
Survey response — 6 months, dose 4MedDRA: Menstruation irregular, Unexpected vaginal bleeding on hormonal IUD — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | No |
| 2 | 2021-03-13 | Pfizer-BioNTech | No |
| 3 | 2021-11-11 | Pfizer-BioNTech | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — 6 months, dose 3
Symptoms: Gastroenteritis
Release 12 — day 28, dose 4
Symptoms: Stomach pain worsening, likely unrelated
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 | Abdominal pain upper | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Unexpected vaginal bleeding on hormonal IUD | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release