J9Z-10671-99191
4 vaccinations
2 coded responses
32 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 223 / VA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-15
Dose 1 — Pfizer-BioNTech
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-12
- 2021-05-19
- 2021-07-06
-
2021-10-05
Survey response — 6 months, dose 2MedDRA: Bronchitis, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Had bronchitis that lasted a month. · Healthcare visit (other): Saw my PCP in person as well.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-18
Dose 3 — Pfizer-BioNTech
- 2021-11-22
- 2022-04-06
-
2022-09-21
Dose 4 — Pfizer-BioNTech
- 2022-09-28
- 2022-10-05
- 2022-10-19
-
2022-10-28
Survey response — day 35, dose 4MedDRA: Cough, Office visit, Oropharyngeal pain, Rhinorrhoea — 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 professionalFree text: Symptoms: Sore throat, coughing, runny nose · Healthcare visit (other): Visit w my primary care docMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-02
- 2022-12-21
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
| 4 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — 6 months, dose 2
Symptoms: Had bronchitis that lasted a month.
Healthcare visit (other): Saw my PCP in person as well.
Release 12 — day 35, dose 4
Symptoms: Sore throat, coughing, runny nose
Healthcare visit (other): Visit w my primary care doc
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release