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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

  1. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  5. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  8. 2021-01-27
    Survey response — day 0, dose 2
    MedDRA: Inflammation, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free 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
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Adult check-in
  10. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast swelling — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Left breast swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  13. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-03
    Survey response — day 35, dose 2
    MedDRA: Head discomfort, SARS-CoV-2 test positive, Tremor — Feeling: Fair
    Free 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
  16. 2021-03-10
    Survey response — day 42, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I must have some neurological post COVID-19 effects. Must because I'm still waiting for a appointment with a neurologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-10-15
    Dose 3 — Pfizer-BioNTech
  18. 2022-04-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-10-15Pfizer-BioNTech No

Free text

Release 2 — day 0, dose 2

2021-01-27

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

2021-01-30

Systemic reaction (other): Left breast swelling

Release 5 — day 35, dose 2

2021-03-03

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

2021-03-10

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

FieldPreferred term2021-092023-042024-11
SDHead discomfort ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROBreast swelling ✓ ✓ ✓
SROInflammation ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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