X4Y-43899-96619
3 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 605 / IL
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Registered in v-safe
- 2021-04-10
-
2021-04-16
Dose 2 — Pfizer-BioNTech
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
- 2021-10-17
-
2021-12-09
Dose 3 — Pfizer-BioNTech
- 2021-12-13
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
-
2021-12-30
Survey response — day 21, dose 3MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat, cough, congestion, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-01-06
- 2022-01-13
- 2022-01-20
-
2022-03-10
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Vomiting — 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 · Telehealth, virtual health, or email health consultationFree text: Vomitting, diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-15
-
2022-06-09
Survey response — 6 months, dose 3MedDRA: COVID-19, Ear congestion, Fatigue, Oropharyngeal pain, Pain, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: COVID + Fatigue, mild body aches, sore throat, sinus and ear congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-10 | Unsuccessful |
Free text
Release 10 — day 21, dose 3
Symptoms: Sore throat, cough, congestion, fatigue
Release 11 — 3 months, dose 3
Symptoms: Vomitting, diarrhea
Release 11 — 6 months, dose 3
Symptoms: COVID + Fatigue, mild body aches, sore throat, sinus and ear congestion
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release