5CA-12000-37467
4 vaccinations
1 coded response
49 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 780 / TX
- Registered
- 2021-06-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
F4M-67063-04709
Child or adolescent in my care · Male · 2022-06-29
A99-60256-94427
Child or adolescent in my care · Female · 2022-07-02
Timeline
-
2021-06-10
Registered in v-safe
-
2021-06-10
Dose 1 — Pfizer-BioNTech
- 2021-06-10
-
2021-06-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-15
- 2021-06-16
- 2021-06-17
- 2021-06-24
-
2021-06-29
Dose 2 — Pfizer-BioNTech
- 2021-06-29
- 2021-06-30
- 2021-07-01
-
2021-07-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-07-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-07-04
- 2021-07-05
- 2021-07-06
- 2021-07-13
- 2021-07-21
- 2021-07-27
- 2021-08-03
- 2021-08-10
- 2021-09-28
- 2021-12-28
-
2021-12-29
Dose 3 — Pfizer-BioNTech
- 2021-12-29
-
2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-31
- 2022-01-01
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-02-09
- 2022-03-30
- 2022-06-29
-
2022-09-11
Dose 4 — Pfizer-BioNTech
- 2022-09-15
-
2022-09-16
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: FairFree text: Runny nose, could be allergies thoughMedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-10 | Pfizer-BioNTech | |
| 2 | 2021-06-29 | Pfizer-BioNTech | No |
| 3 | 2021-12-29 | Pfizer-BioNTech | No |
| 4 | 2022-09-11 | Pfizer-BioNTech | No |
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose, could be allergies though
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 |
|---|---|---|---|---|
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release