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3DV-27780-69226

3 vaccinations 5 coded responses 29 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
837 / ID
Registered
2021-06-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
G6G-48753-39027 Child or adolescent in my care · Male · 2022-08-05
RQN-16465-59329 Child or adolescent in my care · Female · 2022-08-05

Timeline

  1. 2021-06-02
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-03
    Registered in v-safe
  3. 2021-06-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Loose stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-06-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-06-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-06-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-06-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-23
    Dose 2 — Pfizer-BioNTech
  12. 2021-06-23
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-06-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-06-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Diarrhea
    Free text: Pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  16. 2021-06-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-06-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-30
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-07-07
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-07-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-04
    Survey response — day 42, dose 2
    MedDRA: Sinusitis — Feeling: Good
    Free text: Sinus infection
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2021-09-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-08-05
    Dose 3 — Pfizer-BioNTech
  27. 2022-08-05
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  28. 2022-08-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  29. 2022-08-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  30. 2022-08-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  31. 2022-08-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2022-08-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-08-26
    Survey response — day 21, dose 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    Free text: Got a horrible cold
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-06-02Pfizer-BioNTech
22021-06-23Pfizer-BioNTech No
32022-08-05Pfizer-BioNTech No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-03

Systemic reaction (other): Loose stool

Release 9 — days 1–6 daily, dose 2

2021-06-25

Systemic reaction (other): Pregnant

2021-06-29

Systemic reaction (other): Diarrhea

Release 9 — day 42, dose 2

2021-08-04

Symptoms: Sinus infection

Release 12 — day 21, dose 3

2022-08-26

Symptoms: Got a horrible cold

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
SDNasopharyngitis · · ✓
SDSinusitis ✓ · ✓
SRODiarrhoea ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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

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