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49L-20961-05189

3 vaccinations 2 coded responses 32 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
221 / VA
Registered
2020-12-16
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
MCM-12156-61385 Child or adolescent in my care · Male · 2022-06-30
QX5-13166-09720 Child or adolescent in my care · Female · 2022-06-30
Y92-15892-75714 Child or adolescent in my care · Male · 2022-06-30

Timeline

  1. 2020-12-16
    Registered in v-safe
  2. 2020-12-16
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-16
    Survey response — day 0, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2020-12-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-05
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  13. 2021-01-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  14. 2021-01-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-01-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-01-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-24
    Dose 3 — Pfizer-BioNTech
  26. 2021-09-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  28. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-08
    Survey response — day 14, dose 3
    MedDRA: Cough, Rhinorrhoea, Viral upper respiratory tract infection — Feeling: Fair
    Free text: Unrelated viral uri - runny nose, cough, etc.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-10-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-03-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-16Pfizer-BioNTech
22021-01-05Pfizer-BioNTech
32021-09-24Pfizer-BioNTech No

Free text

Release 1 — day 0, dose 1

2020-12-16

Systemic reaction (other): Sore throat

Release 10 — day 14, dose 3

2021-10-08

Symptoms: Unrelated viral uri - runny nose, cough, etc.

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
SDCough · · ✓
SDRhinorrhoea · · ✓
SDViral upper respiratory tract infection · · ✓
SROOropharyngeal pain ✓ ✓ ✓

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

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