5CH-29580-00736
4 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 550 / MN
- Registered
- 2021-11-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EY4-53576-89384
Child or adolescent in my care · Male · 2021-11-09
5TV-43794-93252
Child or adolescent in my care · Male · 2021-11-26
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2021-01-12
Dose 2 — Pfizer-BioNTech
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-11-09
Registered in v-safe
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Influenza — Feeling: Fair · Be unable to work or attend schoolFree text: InfluenzaMedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
-
2022-09-28
Survey response — 12 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid positive 6/29 confirmed by PCR testMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 4 — Pfizer-BioNTech
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-02
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19, Rash, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Rash is on my torso extending up to my neck and shoulders but this has happened with each injection. I would say this time has been the least amt of rash but I've also had covid three months ago so probably have antibodies that are helping.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-12
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | No |
| 2 | 2021-01-12 | Pfizer-BioNTech | No |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | No |
Free text
Release 10 — 3 months, dose 3
Symptoms: Influenza
Release 12 — 12 months, dose 3
Symptoms: Covid positive 6/29 confirmed by PCR test
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Rash is on my torso extending up to my neck and shoulders but this has happened with each injection. I would say this time has been the least amt of rash but I've also had covid three months ago so probably have antibodies that are helping.
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 | Influenza | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release