X5R-88609-97343
3 vaccinations
2 coded responses
24 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 481 / MI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Registered in v-safe
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-13
- 2021-04-20
-
2021-04-27
Survey response — day 21, dose 1MedDRA: Unexpected vaginal bleeding on hormonal IUD — Feeling: GoodFree text: Period started. Haven't had a period since June 2020 due to iud put in December 2019MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Dose 2 — Pfizer-BioNTech
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-27
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-04
-
2021-12-15
Dose 3 — Pfizer-BioNTech
- 2022-06-17
-
2022-12-15
Survey response — 12 months, dose 3MedDRA: 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Report sent to call center — 12 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-15 | Unsuccessful |
Free text
Release 8 — day 21, dose 1
Symptoms: Period started. Haven't had a period since June 2020 due to iud put in December 2019
Release 12 — 12 months, dose 3
Symptoms: 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 | · | · | ✓ |
| SD | Unexpected vaginal bleeding on hormonal IUD | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release