H42-21404-59416
4 vaccinations
3 coded responses
31 check-ins
3 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-11
Registered in v-safe
-
2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Pyrexia — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: I had a fever of 103F on January 9th, was too unwell to sign up for the app.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-17
- 2021-01-22
- 2021-01-29
- 2021-02-07
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2021-07-09
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-04
- 2021-10-05
- 2021-10-07
- 2021-10-08
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-05
- 2021-11-14
- 2022-01-01
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous — 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 visit, Emergency room or emergency department visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 6 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-05
-
2022-09-15
Dose 4 — Pfizer-BioNTech
- 2022-09-25
- 2022-10-01
- 2022-10-08
- 2022-10-15
-
2022-10-30
Survey response — day 42, dose 4MedDRA: Noninfective gingivitis, Upper-airway cough syndrome — Feeling: FairFree text: Post nasal drip, inflamed gumsMedDRA releases: 2024-11 · check-in free text available
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-01 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): I had a fever of 103F on January 9th, was too unwell to sign up for the app.
Release 11 — 6 months, dose 3
Symptoms: Miscarriage
Release 12 — day 42, dose 4
Symptoms: Post nasal drip, inflamed gums
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 | Abortion spontaneous | · | · | ✓ |
| SD | Noninfective gingivitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release