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YEE-21461-99546

4 vaccinations 3 coded responses 17 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
452 / OH
Registered
2021-04-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
X98-26302-44657 Adult relative or friend · Male · 2021-10-16

Timeline

  1. 2021-02-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-04
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-03
    Registered in v-safe
  4. 2021-04-03
    Survey response — day 28, dose 2
    MedDRA: Cough, Laryngitis, Throat irritation — Feeling: Good
    Free text: Mild throat irritation mild rattly cough for the last five days, had laryngitis two days ago.I do not see where to enter side effects from second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-09-25
    Dose 3 — Pfizer-BioNTech
  10. 2021-10-02
    Survey response — day 7, dose 3
    MedDRA: Nasal congestion — Feeling: Fair · Headache
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  12. 2021-10-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-10-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-12-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-03-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-04-21
    Dose 4 — Moderna
  18. 2022-05-15
    Survey response — day 21, dose 4
    MedDRA: Exposure to SARS-CoV-2, Influenza B virus test positive, Malaise, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Flu B tested and confirmed positive. COVID negative but have doubts. I was sick three weeks with symptoms more specific to COVID than flu and think I am one of those who had flu-Rona. Caught it from my son who was flu negative exposed to COVID 4/22.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-15
    Report sent to call center — day 21, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-05-17
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  21. 2022-05-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-05-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-06-04
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-07-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-14Pfizer-BioNTech
22021-03-04Pfizer-BioNTech
32021-09-25Pfizer-BioNTech No
42022-04-21Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-05-15 Successful
2022-05-17
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Mild throat irritation mild rattly cough for the last five days, had laryngitis two days ago.I do not see where to enter side effects from second vaccine.

Release 9 — day 7, dose 3

2021-10-02

Systemic reaction (other): Stuffy nose

Release 11 — day 21, dose 4

2022-05-15

Symptoms: Flu B tested and confirmed positive. COVID negative but have doubts. I was sick three weeks with symptoms more specific to COVID than flu and think I am one of those who had flu-Rona. Caught it from my son who was flu negative exposed to COVID 4/22. cut off by CDC

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDExposure to SARS-CoV-2 · · ✓
SDInfluenza B virus test positive · · ✓
SDLaryngitis ✓ ✓ ✓
SDMalaise · · ✓
SDSARS-CoV-2 test negative · · ✓
SDThroat irritation ✓ ✓ ✓
SRONasal congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release