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5RN-32153-20869

4 vaccinations 3 coded responses 36 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
967 / HI
Registered
2021-09-08
Relationship
Adult relative or friend
Guardian
XZE-57815-03385
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-08
    Registered in v-safe
  2. 2021-09-08
    Dose 1 — Pfizer-BioNTech
  3. 2021-09-08
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2021-09-09
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-09-11
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2021-09-12
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-09-13
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2021-09-14
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2021-09-15
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2021-09-22
    Health check-in — day 14, dose 1, dependent
    Feeling: Good
    Adult check-in
  11. 2021-09-29
    Dose 2 — Pfizer-BioNTech
  12. 2021-09-29
    Health check-in — day 0, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  13. 2021-09-30
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  14. 2021-10-01
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  15. 2021-10-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  16. 2021-10-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  17. 2021-10-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  18. 2021-10-05
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  19. 2021-10-06
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  20. 2021-10-13
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  21. 2021-10-20
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  22. 2021-10-29
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2021-11-03
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2021-11-10
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2021-12-29
  26. 2022-03-30
  27. 2022-08-17
    Dose 3 — Pfizer-BioNTech
  28. 2022-08-19
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  29. 2022-08-20
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  30. 2022-08-21
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  31. 2022-08-22
    Survey response — days 1–6 daily, dose 3, dependent
    MedDRA: Injection site discolouration — Feeling: Good
    Free text: Injection site is black and blue
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-08-24
    Survey response — day 7, dose 3, dependent
    MedDRA: Injection site bruising — Feeling: Good · Site: Itching
    Free text: Injection site still bruised
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-09-01
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  34. 2022-09-07
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  35. 2022-09-16
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  36. 2022-09-21
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  37. 2022-09-29
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  38. 2022-11-17
  39. 2023-02-01
    Dose 4 — Pfizer-BioNTech
  40. 2023-02-15
    Survey response — 6 months, dose 3, dependent
    MedDRA: Injection site pain, Injection site pruritus — Feeling: Good
    MedDRA releases: 2024-11
  41. 2023-05-03

Vaccinations

DoseDateManufacturerCo-administered
12021-09-08Pfizer-BioNTech No
22021-09-29Pfizer-BioNTech No
32022-08-17Pfizer-BioNTech No
42023-02-01Pfizer-BioNTech No

Free text

Release 12 — days 1–6 daily, dose 3, dependent

2022-08-22

Systemic reaction (other): Injection site is black and blue

Release 12 — day 7, dose 3, dependent

2022-08-24

Systemic reaction (other): Injection site still bruised

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
SDInjection site pain · · ✓
SDInjection site pruritus · · ✓
SROInjection site bruising · · ✓
SROInjection site discolouration · · ✓

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

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