47H-31139-58598
4 vaccinations
2 coded responses
50 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 935 / CA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TU3-31754-63884
Child or adolescent in my care · Female · 2022-06-24
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Registered in v-safe
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
-
2021-03-20
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I am exclusively breastfeeding a 3 month old infant if you are collecting data for that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-17
Survey response — day 28, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: GoodFree text: Today I have an itchy red rash on stomach, chest, and neck. I feel fine and am not sure where this came from or if it is related to the vaccine or something else.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
- 2021-06-19
- 2021-09-18
-
2021-10-12
Dose 3 — Pfizer-BioNTech
-
2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2022-01-11
- 2022-04-12
-
2022-09-30
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | Flu |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): I am exclusively breastfeeding a 3 month old infant if you are collecting data for that.
Release 7 — day 28, dose 2
Symptoms: Today I have an itchy red rash on stomach, chest, and neck. I feel fine and am not sure where this came from or if it is related to the vaccine or something else.
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 | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release