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FDV-17900-38367

3 vaccinations 1 coded response 6 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
700 / LA
Registered
2021-12-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-20
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-28
    Dose 3 — Pfizer-BioNTech
  4. 2021-12-29
    Registered in v-safe
  5. 2021-12-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-12-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  7. 2022-01-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  8. 2022-01-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2022-01-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2022-01-18
    Survey response — day 21, dose 3
    MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Positive COVID test
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-18
    Report sent to call center — day 21, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  12. 2022-01-19
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Pfizer-BioNTech No
22021-01-20Pfizer-BioNTech No
32021-12-28Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 21, dose 3

2022-01-18

Symptoms: Positive COVID test

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

FieldPreferred term2021-092023-042024-11
SDSARS-CoV-2 test positive · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release