Z2M-18490-33969
3 vaccinations
2 coded responses
12 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 482 / MI
- Registered
- 2021-11-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CBP-25958-54748
Child or adolescent in my care · Female · 2021-11-24
Timeline
-
2021-02-05
Dose 1 — Pfizer-BioNTech
-
2021-02-26
Dose 2 — Pfizer-BioNTech
-
2021-11-22
Dose 3 — Moderna
-
2021-11-24
Registered in v-safe
- 2021-11-24
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-12-01
- 2021-12-06
- 2021-12-14
- 2021-12-20
-
2021-12-28
Survey response — day 35, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · 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 consultationFree text: Cough, congestion, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Report sent to call center — day 42, 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 · 1 call case(s)
-
2022-01-06
Call successfulCompleted over the phone
- 2022-02-21
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | No |
| 2 | 2021-02-26 | Pfizer-BioNTech | No |
| 3 | 2021-11-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-03 | Successful 2022-01-06 |
Completed over the phone |
Free text
Release 10 — day 35, dose 3
Symptoms: Congestion, cough
Release 10 — day 42, dose 3
Symptoms: Cough, congestion, fatigue
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release