QTM-28901-56066
2 vaccinations
2 coded responses
24 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 591 / MT
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Nausea, DiarrheaAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-23
-
2021-03-24
Health check-in — day 7, dose 1Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-03-24
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid 19MedDRA releases: 2024-11 · check-in free text available
-
2022-03-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-07
Survey response — 12 months, dose 2MedDRA: Hypersensitivity, Postpartum disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: New allergies - suspect they are post-natal in cause not in relation to the vaccines. · Healthcare visit (other): I am scheduled for an allergy appointment at the end of the monthMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-12
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 10 — 6 months, dose 2
Symptoms: Covid 19
Release 11 — 12 months, dose 2
Symptoms: New allergies - suspect they are post-natal in cause not in relation to the vaccines.
Healthcare visit (other): I am scheduled for an allergy appointment at the end of the month
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 | COVID-19 | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Postpartum disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release