XUZ-14087-35987
3 vaccinations
3 coded responses
35 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 926 / CA
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-05
-
2021-01-12
Dose 2 — Pfizer-BioNTech
-
2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Good · Muscle or body aches · Be unable to workFree text: Bloody noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-12
- 2021-02-16
- 2021-02-23
- 2021-04-13
- 2021-07-15
-
2021-09-25
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Good · Site: Pain · HeadacheFree text: On the day after the shot I had a 103.5 feverMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-12-25
-
2022-03-26
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Got dx with Covid Dec 27MedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Bloody nose
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): On the day after the shot I had a 103.5 fever
Release 11 — 6 months, dose 3
Symptoms: Got dx with Covid Dec 27
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 | · | · | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release