TH5-16738-29027
1 vaccination
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 130 / NY
- Registered
- 2021-07-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-29
Registered in v-safe
-
2021-07-29
Dose 1 — Pfizer-BioNTech
- 2021-07-29
-
2021-07-30
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold soreMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-02
- 2021-08-04
-
2021-08-19
Survey response — day 21, dose 1MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Sore throat, running nose, headacheMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-30
-
2022-07-29
Survey response — 12 months, dose 1MedDRA: Hospitalisation, Preterm premature rupture of membranes, Subchorionic haematoma — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Subchorionic Hematoma Pprom · Healthcare visit (other): Hospitalized 6 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-08-01
-
2022-08-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Cold sore
Release 9 — day 21, dose 1
Symptoms: Sore throat, running nose, headache
Release 12 — 12 months, dose 1
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 | Hospitalisation | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Preterm premature rupture of membranes | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Subchorionic haematoma | · | · | ✓ |
| SRO | Oral herpes | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release