6KT-58739-33557
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 760 / TX
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
639-13509-89710
Child or adolescent in my care · Male · 2021-11-07
AG3-29704-34399
Child or adolescent in my care · Female · 2022-01-22
Timeline
-
2020-12-18
Registered in v-safe
-
2020-12-18
Dose 1 — Pfizer-BioNTech
- 2020-12-18
-
2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-27
- 2021-01-01
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-17
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2021-07-09
-
2021-09-26
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Chills — Feeling: Good · Site: PainFree text: In my 2nd dose, this did not capture that i had chills bit no fever, because I checked in before the chills. The next day, the question was the symptoms for that day.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: Calf painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-10
-
2021-10-17
Survey response — day 21, dose 3MedDRA: Headache, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache and congestion. Started this morning.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-24
- 2021-10-31
-
2021-11-07
Survey response — day 42, dose 3MedDRA: Palpitations — Feeling: GoodFree text: Increased palpitationsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
-
2022-03-27
Survey response — 6 months, dose 3MedDRA: Eye pruritus, Hypersensitivity, Palpitations, Periorbital swelling, Pre-existing disease, Rhinitis allergic — Feeling: Good · Be unable to work or attend schoolFree text: 1. Allergy symptoms are more common (never had those before) - eye itchiness/puffiness, allergic rhinitis 2. Palpitations are somewhat less than the last time I reported it.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-26
Survey response — 12 months, dose 3MedDRA: Palpitations — Feeling: GoodFree text: PalpitationsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): In my 2nd dose, this did not capture that i had chills bit no fever, because I checked in before the chills. The next day, the question was the symptoms for that day.
Systemic reaction (other): Calf pain
Release 10 — day 21, dose 3
Symptoms: Headache and congestion. Started this morning.
Release 10 — day 42, dose 3
Symptoms: Increased palpitations
Release 11 — 6 months, dose 3
Symptoms: 1. Allergy symptoms are more common (never had those before) - eye itchiness/puffiness, allergic rhinitis 2. Palpitations are somewhat less than the last time I reported it.
Release 12 — 12 months, dose 3
Symptoms: Palpitations
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 | Eye pruritus | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Periorbital swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinitis allergic | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release