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
-
2021-05-15
Registered in v-safe
-
2021-05-15
Dose 1 — Pfizer-BioNTech
-
2021-05-15
Survey response — day 0, dose 1MedDRA: Asthma, Hypersensitivity, Pre-existing disease — Feeling: GoodFree text: I previously had mis-c and have asthma and allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Have asthma, allergies, and have had mis-cMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Headache, Fatigue or tirednessFree text: Have asthma, allergies, and had mis-cMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
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2021-05-19
Survey response — days 1–6 daily, dose 1MedDRA: Abortion spontaneous, Pre-existing disease — Feeling: GoodFree text: Have asthma, allergies, and had mis-cMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
-
2021-05-29
Survey response — day 14, dose 1MedDRA: Chest pain — Feeling: GoodFree text: some chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-15 | Pfizer-BioNTech |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): I previously had mis-c and have asthma and allergies
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Have asthma, allergies, and have had mis-c
Systemic reaction (other): Have asthma, allergies, and had mis-c
Systemic reaction (other): Have asthma, allergies, and had mis-c
Release 8 — day 14, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | ✓ | ✓ | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ○ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release