D4V-63022-83126
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 207 / MD
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RXK-11315-82074
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-04-12
Registered in v-safe
-
2021-04-12
Dose 1 — Pfizer-BioNTech
-
2021-04-12
Survey response — day 0, dose 1MedDRA: Pregnancy — Feeling: Good · Site: PainFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-19
- 2021-04-28
-
2021-05-03
Dose 2 — Pfizer-BioNTech
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-06-02
- 2021-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Pregnancy
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pregnancy
Systemic reaction (other): Pregnancy
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 |
|---|---|---|---|---|
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release