JXB-28777-25097
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 327 / FL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RVM-48613-12498
Child or adolescent in my care · Female · 2022-12-02
2W7-28942-12166
Child or adolescent in my care · Female · 2022-12-02
RFK-28619-44703
Child or adolescent in my care · Female · 2022-12-02
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Pfizer-BioNTech
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-14
- 2021-04-15
- 2021-04-24
- 2021-04-29
-
2021-04-30
Dose 2 — Pfizer-BioNTech
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Cough, Respiratory symptom — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Caught a bad respiratory virus May 16, did not get tested, still coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-11
- 2021-07-31
- 2021-10-29
-
2021-12-02
Dose 3 — ModernaCo-administered: Flu
- 2022-04-30
-
2022-06-02
Survey response — 6 months, dose 3MedDRA: Cough, Food poisoning, Gastrointestinal viral infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Food poisoning or gi bug, coughingMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — 12 months, dose 3MedDRA: COVID-19, Respiratory syncytial virus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: August Covid, RSV NovemberMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-05
-
2022-12-08
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — day 21, dose 2
Symptoms: Caught a bad respiratory virus May 16, did not get tested, still coughing
Release 11 — 6 months, dose 3
Symptoms: Food poisoning or gi bug, coughing
Release 12 — 12 months, dose 3
Symptoms: August Covid, RSV November
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Respiratory symptom | ✓ | ✓ | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release