X3A-66319-97431
3 vaccinations
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 190 / PA
- Registered
- 2022-04-08
- Relationship
- Child or adolescent in my care
- Guardian
- JNU-96251-58515
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Dose 1 — Pfizer-BioNTech
-
2021-05-14
Dose 2 — Pfizer-BioNTech
-
2021-12-30
Dose 3 — Pfizer-BioNTech
-
2022-04-08
Registered in v-safe
-
2022-12-30
Survey response — 12 months, dose 3, dependentMedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Had CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 12 months, dose 3, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2023-01-03
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 | 2021-04-23 | Pfizer-BioNTech | No |
| 2 | 2021-05-14 | Pfizer-BioNTech | No |
| 3 | 2021-12-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-30 | Successful 2023-01-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — 12 months, dose 3, dependent
Symptoms: Had Covid
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release