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CRF-13746-25676

1 vaccination 5 coded responses 7 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
525 / IA
Registered
2021-05-15
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-15
    Registered in v-safe
  2. 2021-05-15
    Dose 1 — Pfizer-BioNTech
  3. 2021-05-15
    Survey response — day 0, dose 1
    MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: Good
    Free text: I previously had mis-c and have asthma and allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Have asthma, allergies, and have had mis-c
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Have asthma, allergies, and had mis-c
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abortion spontaneous, Pre-existing disease — Feeling: Good
    Free text: Have asthma, allergies, and had mis-c
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-29
    Survey response — day 14, dose 1
    MedDRA: Chest pain — Feeling: Good
    Free text: some chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-15Pfizer-BioNTech

Free text

Release 8 — day 0, dose 1

2021-05-15

Systemic reaction (other): I previously had mis-c and have asthma and allergies

Release 8 — days 1–6 daily, dose 1

2021-05-16

Systemic reaction (other): Have asthma, allergies, and have had mis-c

2021-05-17

Systemic reaction (other): Have asthma, allergies, and had mis-c

2021-05-19

Systemic reaction (other): Have asthma, allergies, and had mis-c

Release 8 — day 14, dose 1

2021-05-29

Symptoms: some chest pain

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
SDChest pain ✓ ✓ ✓
SROAbortion spontaneous ✓ ✓ ✓
SROAsthma ✓ ✓ ○
SROHypersensitivity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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