E4E-69376-67418
3 vaccinations
1 coded response
2 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 370 / TN
- Registered
- 2021-12-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Z5J-33039-58459
Child or adolescent in my care · Male · 2021-12-02
Timeline
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Dose 2 — Pfizer-BioNTech
-
2021-10-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-12-02
Registered in v-safe
-
2022-01-03
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Office visit, Pyrexia, Respiratory tract congestion, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough, fever, congestion, sneezing, fatigue · Healthcare visit (other): A sick appointment with my PCPMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | No |
| 2 | 2021-04-01 | Pfizer-BioNTech | No |
| 3 | 2021-10-04 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 10 — 3 months, dose 3
Symptoms: Cough, fever, congestion, sneezing, fatigue
Healthcare visit (other): A sick appointment with my PCP
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release