N6N-57808-57034
4 vaccinations
4 coded responses
27 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 906 / CA
- Registered
- 2021-11-24
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZD4-13562-32947
Other · Male · 2021-11-24
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-27
Dose 2 — Pfizer-BioNTech
-
2021-11-23
Dose 3 — Pfizer-BioNTech
-
2021-11-24
Registered in v-safe
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Backaches, tingling lower extremitiesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Armpit tenderness on side of injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
-
2022-01-04
Survey response — day 42, dose 3MedDRA: Headache, Rhinorrhoea, Sneezing — Feeling: GoodFree text: runny nose, headache, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-02-22
- 2022-05-24
-
2022-10-07
Dose 4 — Pfizer-BioNTech
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
-
2023-04-07
Survey response — 6 months, dose 4MedDRA: Induced labour, Pre-eclampsia — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-04-07
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2023-04-10
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | No |
| 2 | 2021-04-27 | Pfizer-BioNTech | No |
| 3 | 2021-11-23 | Pfizer-BioNTech | No |
| 4 | 2022-10-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Backaches, tingling lower extremities
Systemic reaction (other): Armpit tenderness on side of injection site
Release 10 — day 42, dose 3
Symptoms: runny nose, headache, 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 | Induced labour | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release