P63-42499-72072
3 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 914 / CA
- Registered
- 2021-06-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-08
Dose 1 — Pfizer-BioNTech
-
2021-05-31
Dose 2 — Pfizer-BioNTech
-
2021-06-01
Registered in v-safe
-
2021-06-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-06-03
- 2021-06-04
- 2021-06-05
- 2021-06-06
- 2021-06-07
- 2021-06-14
- 2021-06-28
- 2021-07-05
- 2021-07-12
- 2021-09-01
- 2021-11-29
-
2021-12-10
Dose 3 — Moderna
-
2022-06-10
Survey response — 6 months, dose 3MedDRA: Insomnia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Insomnia · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-06-10
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-08 | Pfizer-BioNTech | |
| 2 | 2021-05-31 | Pfizer-BioNTech | |
| 3 | 2021-12-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 12 — 6 months, dose 3
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 | Office visit | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release