FF6-76414-50709
4 vaccinations
2 coded responses
44 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 394 / MS
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
DW3-29680-28946
Child or adolescent in my care · Female · 2021-09-08
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-22
Dose 2 — Pfizer-BioNTech
- 2021-02-25
- 2021-02-26
- 2021-03-03
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-09-07
Dose 3 — Pfizer-BioNTech
- 2021-09-09
- 2021-09-10
- 2021-09-12
- 2021-09-13
- 2021-09-14
- 2021-09-21
- 2021-09-28
- 2021-10-05
- 2021-10-12
- 2021-10-19
-
2021-12-07
Survey response — 3 months, dose 3MedDRA: Influenza — 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: FluMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-10
-
2021-12-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-08
- 2022-09-09
-
2022-09-14
Dose 4 — Pfizer-BioNTech
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-12-14
-
2023-03-15
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · 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 visitMedDRA releases: 2024-11
-
2023-03-15
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech | |
| 3 | 2021-09-07 | Pfizer-BioNTech | No |
| 4 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-07 | Successful 2021-12-13 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-03-15 | Unsuccessful |
Free text
Release 10 — 3 months, dose 3
Symptoms: Flu
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 | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release