Z78-29956-17560
4 vaccinations
2 coded responses
17 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 633 / MO
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2021-01-18
Dose 2 — Pfizer-BioNTech
-
2021-01-19
Registered in v-safe
-
2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-03
-
2021-02-08
Survey response — day 21, dose 2MedDRA: Cough, Headache, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever, cough, headache, congestion, sinus pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-17
- 2021-02-22
- 2021-03-03
- 2021-07-19
-
2021-11-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-10
Dose 3 — Pfizer-BioNTech
- 2022-01-18
-
2022-09-24
Dose 4 — Pfizer-BioNTech
- 2022-10-04
- 2022-10-08
-
2022-10-15
Survey response — day 21, dose 4MedDRA: Cough, Nasal congestion, Paranasal sinus discomfort, Upper respiratory tract infection — Feeling: FairFree text: Symptoms of upper respiratory infection: cough, sinus pressure, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-12-10 | Pfizer-BioNTech | No |
| 4 | 2022-09-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-08 | Successful 2021-11-29 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — day 21, dose 2
Symptoms: Fever, cough, headache, congestion, sinus pressure
Release 12 — day 21, dose 4
Symptoms: Symptoms of upper respiratory infection: cough, sinus pressure, nasal congestion
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 | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release