MQM-17029-02172
4 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 801 / CO
- Registered
- 2021-07-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Pfizer-BioNTech
-
2021-05-07
Dose 2 — Pfizer-BioNTech
-
2021-07-04
Registered in v-safe
- 2021-08-06
- 2021-11-05
-
2021-11-07
Dose 3 — Pfizer-BioNTech
- 2021-11-08
- 2021-11-10
- 2021-11-12
- 2021-11-14
- 2021-11-21
- 2021-12-05
-
2021-12-21
Survey response — day 42, dose 3MedDRA: Delivery, Premature labour, Unevaluable event — 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 · HospitalizationFree text: Symptoms: Preterm labor, birth at 29 weeks 6 days · Healthcare visit (other): Labor and deliveryMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2021-12-22
-
2021-12-22
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-08
-
2022-10-03
Dose 4 — Moderna
-
2022-10-03
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2022-10-04
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Good · Site: PainFree text: I had difficulty sleeping that I couldn't attribute to anything else.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Lymph node swelling under armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-07
-
2022-11-02
Survey response — day 28, dose 4MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nasty nasty cold. Runny nose, stuffy nose, cough, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | No |
| 2 | 2021-05-07 | Pfizer-BioNTech | No |
| 3 | 2021-11-07 | Pfizer-BioNTech | No |
| 4 | 2022-10-03 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 42, dose 3
Symptoms: Preterm labor, birth at 29 weeks 6 days
Healthcare visit (other): Labor and delivery
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had difficulty sleeping that I couldn't attribute to anything else.
Systemic reaction (other): Lymph node swelling under armpit
Release 12 — day 28, dose 4
Symptoms: Nasty nasty cold. Runny nose, stuffy nose, cough, sneezing
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 | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release