3MH-31840-84274
4 vaccinations
2 coded responses
32 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 212 / MD
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ADP-26331-42334
Child or adolescent in my care · Male · 2021-11-09
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-23
Registered in v-safe
- 2020-12-24
- 2020-12-25
- 2021-01-01
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-02-07
- 2021-02-12
- 2021-04-09
-
2021-07-11
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: GoodFree text: Sore throat, congestion (kids are sick)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Pain in extremity, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: I did have chills yesterday for one hour. I also had arm pain for ~36 hours after injection (worse than flu shot). But I forgot to fill out the report yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-27
- 2021-11-02
- 2021-11-09
- 2021-12-30
-
2022-02-21
Dose 4 — Pfizer-BioNTech
- 2022-03-29
- 2022-03-29
- 2022-04-06
- 2022-05-23
- 2022-08-24
- 2023-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-02-21 | Pfizer-BioNTech | No |
Free text
Release 9 — 6 months, dose 2
Symptoms: Sore throat, congestion (kids are sick)
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I did have chills yesterday for one hour. I also had arm pain for ~36 hours after injection (worse than flu shot). But I forgot to fill out the report yesterday.
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release