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4JM-20002-63748

2 vaccinations 1 coded response 16 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
282 / NC
Registered
2021-08-23
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
77X-15042-02492 Child or adolescent in my care · Female · 2021-08-24
ZPC-10182-82577 Child or adolescent in my care · Male · 2021-08-24

Timeline

  1. 2021-08-23
    Registered in v-safe
  2. 2021-08-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-23
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: No
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain
    Adult check-in
  5. 2021-08-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  6. 2021-08-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Fatigue or tiredness, Abdominal pain
    Adult check-in
  7. 2021-08-30
    Health check-in — day 7, dose 1
    Feeling: Good · Nausea, Abdominal pain
    Adult check-in
  8. 2021-09-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-14
    Dose 2 — Pfizer-BioNTech
  10. 2021-09-14
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  11. 2021-09-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school
    Adult check-in
  12. 2021-09-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-09-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-09-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-09-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-23Pfizer-BioNTech No
22021-09-14Pfizer-BioNTech No

Free text

Release 9 — day 0, dose 1

2021-08-23

Systemic reaction (other): No

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
SRONo adverse event ✓ · ✓

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

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