X2W-27576-20508
1 vaccination
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 953 / CA
- Registered
- 2021-08-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-10
Dose 1 — Pfizer-BioNTech
-
2021-08-11
Registered in v-safe
-
2021-08-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
-
2021-08-13
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-14
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-15
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-18
- 2021-08-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-13 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Cough
Systemic reaction (other): 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 |
|---|---|---|---|---|
| SRO | Cough | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release