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25V-10906-83142

3 vaccinations 10 coded responses 11 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
841 / UT
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Headache, Rash — Feeling: Fair · Site: Pain
    Free text: have some symptoms (fatigue, headache, rash), but could all be attributed to pre-existing conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair
    Free text: I've had symptoms but there's no reason not to assume they're from pre-existing conditions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair
    Free text: I have symptoms but there's no reason to assume they aren't from pre-existing conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair
    Free text: I have symptoms, but there's no reason not to assume that they are from pre-existing conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-17
    Survey response — day 7, dose 1
    MedDRA: Adverse reaction — Feeling: Fair
    Free text: symptoms but no reason not to suspect that they are due to other conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  10. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: I had a headache and fatigue the day I got the vaccine (yesterday)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing condition improved — Feeling: Fair
    Free text: I have some of those symptoms, but it's not clear that they aren't because of pre-existing conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair
    Free text: none that I would think aren't from pre-existing condtions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: symptoms, but they're all probably from pre-existing conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair
    Free text: I have symptoms, but no reason to think they aren't from pre-existing conditions
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-10-09
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech
22021-03-31Pfizer-BioNTech
32021-10-09Pfizer-BioNTech No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): have some symptoms (fatigue, headache, rash), but could all be attributed to pre-existing conditions

2021-03-13

Systemic reaction (other): I've had symptoms but there's no reason not to assume they're from pre-existing conditions.

2021-03-14

Systemic reaction (other): I have symptoms but there's no reason to assume they aren't from pre-existing conditions

2021-03-16

Systemic reaction (other): I have symptoms, but there's no reason not to assume that they are from pre-existing conditions

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): symptoms but no reason not to suspect that they are due to other conditions

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): I had a headache and fatigue the day I got the vaccine (yesterday)

2021-04-02

Systemic reaction (other): I have some of those symptoms, but it's not clear that they aren't because of pre-existing conditions

2021-04-04

Systemic reaction (other): none that I would think aren't from pre-existing condtions

2021-04-05

Systemic reaction (other): symptoms, but they're all probably from pre-existing conditions

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): I have symptoms, but no reason to think they aren't from pre-existing conditions

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
SROAdverse reaction ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing condition improved ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓

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

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