RM6-56370-17443
4 vaccinations
3 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 088 / NJ
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
F9M-24680-15208
Child or adolescent in my care · Female · 2022-06-28
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Dose 2 — Pfizer-BioNTech
-
2021-04-22
Registered in v-safe
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Breast feeding — Feeling: Good · Site: PainFree text: I am breastfeeding and my breasts have felt particularly full and sometimes I had breast discomfort in the 2-3 days following my 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-29
- 2021-05-03
- 2021-07-19
- 2021-10-18
-
2021-11-09
Dose 3 — Pfizer-BioNTech
- 2022-04-19
-
2022-09-23
Dose 4 — Moderna
-
2022-12-27
Survey response — 3 months, dose 4MedDRA: Bronchitis, Conjunctivitis, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Colds, bronchitis, and pink eyeMedDRA releases: 2024-11 · check-in free text available
-
2023-03-24
Survey response — 6 months, dose 4MedDRA: Bronchitis, Nasopharyngitis, Respiratory disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-28
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Pfizer-BioNTech | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I am breastfeeding and my breasts have felt particularly full and sometimes I had breast discomfort in the 2-3 days following my 2nd shot.
Release 12 — 3 months, dose 4
Symptoms: Colds, bronchitis, and pink eye
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 | Bronchitis | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SRO | Breast feeding | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release