AJN-12903-86629
4 vaccinations
3 coded responses
48 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 890 / NV
- Registered
- 2020-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
KX2-10589-16376
Child or adolescent in my care · Female · 2021-10-25
Timeline
-
2020-12-16
Registered in v-safe
-
2020-12-16
Dose 1 — Pfizer-BioNTech
- 2020-12-17
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-30
-
2021-01-06
Dose 2 — Pfizer-BioNTech
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-20
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-04-07
Survey response — 3 months, dose 2MedDRA: Rash erythematous — Feeling: GoodFree text: On 3/28, I received my tdap vaccine in the same arm I received my Covid vaccine. I have never had an issue before, however, this time my arm broke out in a red rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-07
-
2021-10-24
Dose 3 — Pfizer-BioNTech
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache · Be unable to work or attend schoolAdult check-in
- 2021-10-30
-
2021-10-31
Survey response — day 7, dose 3MedDRA: Dyspnoea — Feeling: Good · Headache, Rash, not including the immediate area around the injection siteFree text: Feel windedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-07
- 2022-01-23
- 2022-04-24
-
2022-10-03
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-04
Survey response — days 1–6 daily, dose 4MedDRA: Foetal hypokinesia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Reduced fetal movementMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-09
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech | |
| 3 | 2021-10-24 | Pfizer-BioNTech | No |
| 4 | 2022-10-03 | Pfizer-BioNTech | Flu |
Free text
Release 7 — 3 months, dose 2
Symptoms: On 3/28, I received my tdap vaccine in the same arm I received my Covid vaccine. I have never had an issue before, however, this time my arm broke out in a red rash.
Release 10 — day 7, dose 3
Systemic reaction (other): Feel winded
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Reduced fetal movement
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 | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Foetal hypokinesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release