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QTK-20036-56619

3 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
160 / PA
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
5MP-15644-88159 Child or adolescent in my care · Female · 2022-08-02

Timeline

  1. 2021-01-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Nausea
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-28
    Survey response — 6 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: Allergy Symptoms Some Relief After Resuming Allergy Medicine
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-09-29
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  18. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · None
    Adult check-in
  19. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Earache - Sore Throat
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Head Congestion - Nasal Drip
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy test positive — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Positive Home Pregnancy Test 10/04/21 5 PM
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-06
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  28. 2022-04-01
    Survey response — 6 months, dose 3
    MedDRA: Sinusitis — 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 · Telehealth, virtual health, or email health consultation
    Free text: Sinus Infection
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-04-01
    Report sent to call center — 6 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)
  30. 2022-04-05
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2022-09-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-09-29Pfizer-BioNTech Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Allergy Symptoms Some Relief After Resuming Allergy Medicine

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Earache - Sore Throat

2021-10-03

Systemic reaction (other): Head Congestion - Nasal Drip

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Positive Home Pregnancy Test 10/04/21 5 PM

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Sinus Infection

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
SDPre-existing disease ✓ · ✓
SDSinusitis · · ✓
SROEar pain · · ✓
SROOropharyngeal pain · · ✓
SROPregnancy test positive · · ✓
SRORespiratory tract congestion · · ✓
SROUpper-airway cough syndrome · · ✓

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

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