JQ6-11701-31020
3 vaccinations
3 coded responses
33 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 563 / MN
- Registered
- 2021-08-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
27S-19287-28164
Child or adolescent in my care · Female · 2021-11-08
3GS-10330-70646
Child or adolescent in my care · Female · 2022-08-17
Timeline
-
2021-08-17
Dose 1 — Pfizer-BioNTech
-
2021-08-18
Registered in v-safe
-
2021-08-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-19
- 2021-08-20
- 2021-08-21
- 2021-08-22
- 2021-08-23
- 2021-08-24
- 2021-08-31
-
2021-09-07
Survey response — day 21, dose 1MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose and head acheMedDRA releases: 2024-11 · check-in free text available
-
2021-09-07
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-14
Dose 2 — Pfizer-BioNTech
- 2021-09-14
- 2021-09-21
- 2021-09-30
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
-
2021-12-14
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Appendicitis — 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: Abdominal pain (appendicitis, appendix had to be removed)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-14
Report sent to call center — 3 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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-12-15
- 2022-03-15
-
2022-08-29
Dose 3 — Pfizer-BioNTech
- 2022-08-29
- 2022-08-30
- 2022-08-31
- 2022-09-01
- 2022-09-02
- 2022-09-03
- 2022-09-04
- 2022-09-05
- 2022-09-12
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-11-28
-
2023-02-27
Survey response — 6 months, dose 3MedDRA: Hypersomnia, Malaise, Viral infection — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-02-27
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)
- 2023-02-28
- 2023-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-17 | Pfizer-BioNTech | No |
| 2 | 2021-09-14 | Pfizer-BioNTech | No |
| 3 | 2022-08-29 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 9 — day 21, dose 1
Symptoms: Runny nose and head ache
Release 10 — 3 months, dose 2
Symptoms: Abdominal pain (appendicitis, appendix had to be removed)
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 | Abdominal pain | · | · | ✓ |
| SD | Appendicitis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release