6QV-13816-31847
3 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 006 / PR
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Pfizer-BioNTech
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2021-01-12
Registered in v-safe
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-14
- 2021-01-21
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2021-01-27
Dose 2 — Pfizer-BioNTech
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2021-01-27
Survey response — day 0, dose 2MedDRA: Inflammation, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: I have a mirrow pain effect in the arm that didn't received the shot, a generalized inflamation (no an allergic reaction)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Breast swelling — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Left breast swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-10
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2021-03-03
Survey response — day 35, dose 2MedDRA: Head discomfort, SARS-CoV-2 test positive, Tremor — Feeling: FairFree text: Some tremors and a strange pressure on the left side of my head... may be stress may be long terms effects of Covid-19 (was positive on 10/11/2021)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 42, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: I must have some neurological post COVID-19 effects. Must because I'm still waiting for a appointment with a neurologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-15
Dose 3 — Pfizer-BioNTech
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): I have a mirrow pain effect in the arm that didn't received the shot, a generalized inflamation (no an allergic reaction)
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Left breast swelling
Release 5 — day 35, dose 2
Symptoms: Some tremors and a strange pressure on the left side of my head... may be stress may be long terms effects of Covid-19 (was positive on 10/11/2021)
Release 5 — day 42, dose 2
Symptoms: I must have some neurological post COVID-19 effects. Must because I'm still waiting for a appointment with a neurologist
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 | Head discomfort | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Breast swelling | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release