95X-12858-97451
2 vaccinations
6 coded responses
21 check-ins
0 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 853 / AZ
- Registered
- 2021-06-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
CSJ-18375-84303
Child or adolescent in my care · Female · 2022-09-18
7KB-24747-72212
Adult relative or friend · Male · 2022-09-18
EU8-22781-23585
Child or adolescent in my care · Male · 2022-09-18
Timeline
-
2021-06-03
Dose 1 — Pfizer-BioNTech
-
2021-06-04
Registered in v-safe
-
2021-06-04
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal painMedDRA releases: 2021-09,2023-04,2024-11
-
2021-06-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-06-08
- 2021-06-09
-
2021-06-10
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-17
-
2021-06-24
Survey response — day 21, dose 1MedDRA: Asthenia, Dizziness, Groin pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11
-
2021-07-01
Dose 2 — Pfizer-BioNTech
- 2021-07-01
-
2021-07-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-03
-
2021-07-04
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11
-
2021-07-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-07-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-07-08
- 2021-07-15
- 2021-07-22
-
2021-07-30
Survey response — day 28, dose 2MedDRA: Influenza — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2024-11
-
2021-07-30
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-03
- 2021-08-05
- 2021-08-06
-
2021-08-12
Survey response — day 42, dose 2MedDRA: Dyspnoea, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11
- 2021-09-30
-
2021-12-30
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Headache, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2021-12-30
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-03 | Pfizer-BioNTech | |
| 2 | 2021-07-01 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
None.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release