XS5-18697-24491
5 vaccinations
2 coded responses
24 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 015 / MA
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-01-10
Registered in v-safe
-
2021-01-14
Survey response — day 7, dose 1MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Most likely due to the stress of multiple family members in the hospital due to Covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-21
-
2021-01-28
Dose 2 — Pfizer-BioNTech
- 2021-01-28
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-19
- 2021-02-25
- 2021-03-04
- 2021-03-15
- 2021-04-29
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Gastrointestinal viral infection, Office visit — 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 professionalFree text: Symptoms: Gastrointestinal virus · Healthcare visit (other): In office apptMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-03
-
2021-10-18
Dose 3 — Pfizer-BioNTech
- 2022-01-28
-
2022-04-20
Dose 4 — Pfizer-BioNTech
-
2022-10-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-21
- 2022-10-27
- 2022-11-03
- 2022-11-12
- 2022-11-17
- 2022-11-26
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
| 5 | 2022-10-13 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | priority 2/3 | |
| 2021-07-30 | Unsuccessful |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Most likely due to the stress of multiple family members in the hospital due to Covid.
Release 9 — 6 months, dose 2
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Gastrointestinal viral infection | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release