SJ8-16563-05911
4 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 331 / FL
- Registered
- 2021-08-07
- Relationship
- Other
- Guardian
- YQJ-26563-65317
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Dose 2 — Pfizer-BioNTech
-
2021-08-07
Registered in v-safe
-
2021-10-04
Dose 3 — Pfizer-BioNTech
-
2021-10-05
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-06
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-10-07
- 2021-10-08
-
2021-10-09
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Itching · NauseaAdult check-in
- 2021-10-10
-
2021-10-11
Health check-in — day 7, dose 3, dependentFeeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-10-18
-
2021-11-01
Survey response — day 28, dose 3, dependentMedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, hip painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-17
-
2022-01-03
Survey response — 3 months, dose 3, dependentMedDRA: Nausea — Feeling: FairFree text: NauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Survey response — 6 months, dose 3, dependentMedDRA: Arthralgia, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Arthralgia, sinusitisMedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Report sent to call center — 6 months, dose 3, dependentGet care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-27
-
2022-04-27
Callback requested for07:00PM ET
-
2022-04-29
Dose 4 — Pfizer-BioNTech
-
2022-05-19
Survey response — day 14, dose 4, dependentMedDRA: Cough, Headache, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Sinusitis — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinusitis, head cold, headache, sore throat, low grade fever, coughMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — day 14, dose 4, dependentBe unable to do their normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-05
- 2022-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | No |
| 2 | 2021-04-01 | Pfizer-BioNTech | No |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-04 | Successful 2022-05-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-19 | Successful 2022-05-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 28, dose 3, dependent
Symptoms: Fatigue, hip pain
Release 10 — 3 months, dose 3, dependent
Symptoms: Nausea
Release 11 — 6 months, dose 3, dependent
Symptoms: Arthralgia, sinusitis
Release 11 — day 14, dose 4, dependent
Symptoms: Sinusitis, head cold, headache, sore throat, low grade fever, cough
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 | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release