RFU-19564-59842
4 vaccinations
3 coded responses
11 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 662 / KS
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Dose 2 — Pfizer-BioNTech
-
2021-04-15
Registered in v-safe
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes under armpit and neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-05-02
- 2021-05-07
- 2021-05-21
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Pyrexia, Sinusitis — Feeling: GoodFree text: Sinus infection lasted 3 days. Had low grade fever. treated with decongestantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-08
-
2021-11-24
Dose 3 — Pfizer-BioNTech
-
2022-04-09
Survey response — 12 months, dose 2MedDRA: Deep vein thrombosis, Pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Became pregnant. Developed a DVT in right legMedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-04-14
-
2022-10-15
Dose 4 — Moderna
- 2022-10-20
- 2023-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Pfizer-BioNTech | No |
| 4 | 2022-10-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes under armpit and neck
Release 9 — 3 months, dose 2
Symptoms: Sinus infection lasted 3 days. Had low grade fever. treated with decongestant
Release 11 — 12 months, dose 2
Symptoms: Became pregnant. Developed a DVT in right leg
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 |
|---|---|---|---|---|
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release