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N56-31068-39751

3 vaccinations 1 coded response 1 check-in 1 free-text entry 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
606 / IL
Registered
2021-12-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-26
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-15
    Dose 3 — Pfizer-BioNTech
  4. 2021-12-09
    Registered in v-safe
  5. 2022-01-14
    Survey response — 3 months, dose 3
    MedDRA: Ageusia, Anosmia, Cough, Nasal congestion, Oropharyngeal pain, Pregnancy, Rhinorrhoea, Sneezing — 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 · Telehealth, virtual health, or email health consultation
    Free text: Cough, loss of taste and smell, stuffy nose, runny nose, sneezing, sore throat + new pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-01-14
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2022-01-19
  8. 2022-01-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Pfizer-BioNTech No
22021-01-26Pfizer-BioNTech No
32021-10-15Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — 3 months, dose 3

2022-01-14

Symptoms: Cough, loss of taste and smell, stuffy nose, runny nose, sneezing, sore throat + new pregnancy

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

FieldPreferred term2021-092023-042024-11
SDAgeusia · · ✓
SDAnosmia · · ✓
SDCough · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPregnancy · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release