FJS-11197-04840
3 vaccinations
1 coded response
19 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 137 / NY
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WVH-26348-37231
Child or adolescent in my care · Female · 2021-11-12
3UC-10711-20721
Child or adolescent in my care · Male · 2021-11-12
Timeline
-
2021-01-03
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 2 — Pfizer-BioNTech
- 2021-01-23
- 2021-01-24
- 2021-01-26
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-03-01
- 2021-03-06
- 2021-04-24
- 2021-07-24
-
2021-09-24
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-08
- 2021-10-15
- 2021-10-24
- 2021-11-05
- 2021-12-24
-
2022-03-25
Survey response — 6 months, dose 3MedDRA: Dyspnoea exertional — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shortness of breath with exertionMedDRA releases: 2024-11 · check-in free text available
-
2022-03-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-28
- 2022-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Pfizer-BioNTech | |
| 2 | 2021-01-23 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — 6 months, dose 3
Symptoms: Shortness of breath with exertion
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 | Dyspnoea exertional | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release