JAS-29664-91741
3 vaccinations
2 coded responses
25 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 068 / CT
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5D7-49973-10006
Child or adolescent in my care · Male · 2021-11-15
QQF-53785-58497
Child or adolescent in my care · Female · 2021-11-15
KUJ-38842-39099
Child or adolescent in my care · Male · 2021-11-15
Timeline
-
2021-04-05
Registered in v-safe
-
2021-04-05
Dose 1 — Pfizer-BioNTech
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-20
- 2021-04-26
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-04-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-04
- 2021-05-13
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
-
2021-07-29
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Hordeolum, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Stye, cold, first trimester miscarriageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
- 2021-10-26
-
2021-12-02
Dose 3 — Moderna
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Fatigue or tirednessFree text: Runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-29 | Unsuccessful |
Free text
Release 9 — 3 months, dose 2
Symptoms: Stye, cold, first trimester miscarriage
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny nose, congestion
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 | Hordeolum | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release