3CY-25961-04694
3 vaccinations
1 coded response
3 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 782 / TX
- Registered
- 2021-11-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
VMW-87348-70849
Child or adolescent in my care · Male · 2021-11-16
KJR-23693-65852
Child or adolescent in my care · Male · 2021-11-16
Timeline
-
2021-04-05
Dose 1 — Pfizer-BioNTech
-
2021-04-26
Dose 2 — Pfizer-BioNTech
-
2021-10-26
Dose 3 — Pfizer-BioNTech
-
2021-11-16
Registered in v-safe
-
2021-11-16
Survey response — day 21, dose 3MedDRA: Chills, Decreased appetite, Headache, Nausea, Pain, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Since my 3rd vaccine I've had chills, body aches all over, headache, nausea, vomiting and decrease in appetite.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech | No |
| 2 | 2021-04-26 | Pfizer-BioNTech | No |
| 3 | 2021-10-26 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 3
Symptoms: Since my 3rd vaccine I've had chills, body aches all over, headache, nausea, vomiting and decrease in appetite.
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 | Chills | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release