XKB-28493-33676
5 vaccinations
3 coded responses
64 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H3F-22368-37195
Child or adolescent in my care · Female · 2022-06-20
M9W-28565-73957
Child or adolescent in my care · Female · 2023-02-10
Timeline
-
2021-03-28
Registered in v-safe
-
2021-03-28
Dose 1 — Pfizer-BioNTech
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
-
2021-04-26
Dose 2 — Pfizer-BioNTech
- 2021-04-26
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
-
2021-09-09
Dose 3 — Pfizer-BioNTech
-
2021-09-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-11
- 2021-09-12
- 2021-09-13
- 2021-09-15
- 2021-09-16
- 2021-09-23
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-12-09
-
2022-02-18
Dose 4 — Pfizer-BioNTech
- 2022-02-18
-
2022-02-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-02-20
- 2022-02-21
-
2022-02-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-02-23
-
2022-02-24
Survey response — days 1–6 daily, dose 4MedDRA: Oral herpes — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold soreMedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-25
Survey response — day 7, dose 4MedDRA: Oral herpes — Feeling: GoodFree text: Cold soreMedDRA releases: 2024-11 · check-in free text available
-
2022-02-28
Call successfulCompleted over the phone
- 2022-03-04
- 2022-03-11
- 2022-03-18
- 2022-03-25
- 2022-04-01
- 2022-05-20
- 2022-08-19
-
2022-10-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
-
2023-01-09
Survey response — 3 months, dose 5MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: FairMedDRA releases: 2024-11
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-09-09 | Pfizer-BioNTech | No |
| 4 | 2022-02-18 | Pfizer-BioNTech | No |
| 5 | 2022-10-10 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-24 | Successful 2022-02-28 |
Completed over the phone |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Cold sore
Release 11 — day 7, dose 4
Systemic reaction (other): Cold sore
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release