DN3-29366-07674
1 vaccination
3 coded responses
10 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 125 / NY
- Registered
- 2021-08-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-19
Registered in v-safe
-
2021-08-19
Dose 1 — Pfizer-BioNTech
- 2021-08-19
- 2021-08-20
- 2021-08-21
- 2021-08-22
-
2021-08-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, 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: Sore throat, congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Report sent to call center — days 1–6 daily, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-08-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-08-25
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: Fair · Headache · Be unable to work or attend schoolFree text: Nasal congestionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Call successfulParticipant prefers to complete VAERS report online
-
2021-08-26
Survey response — day 7, dose 1MedDRA: Cough, Nasal congestion — Feeling: FairFree text: Nasal congestion, coughMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-02
- 2021-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat, congestion
Systemic reaction (other): Nasal congestion
Release 9 — day 7, dose 1
Systemic reaction (other): Nasal congestion, cough
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 |
|---|---|---|---|---|
| SRO | Cough | ✓ | · | ✓ |
| SRO | Nasal congestion | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release