DL4-36073-02996
4 vaccinations
1 coded response
38 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 605 / IL
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
DRV-28555-09343
Child or adolescent in my care · Female · 2022-05-02
BUF-23422-10923
Child or adolescent in my care · Male · 2022-05-02
U2H-29445-76740
Child or adolescent in my care · Female · 2022-05-02
Timeline
-
2021-04-29
Registered in v-safe
-
2021-04-29
Dose 1 — Pfizer-BioNTech
-
2021-04-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-15
-
2021-05-20
Dose 2 — Pfizer-BioNTech
- 2021-05-20
-
2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-06-03
- 2021-06-13
- 2021-06-17
- 2021-06-24
-
2021-07-01
Survey response — day 42, dose 2MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Broke out with hives and haven't changed anything in my diet or otherwise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
-
2022-01-12
Dose 3 — Pfizer-BioNTech
- 2022-07-15
-
2022-12-23
Dose 4 — Pfizer-BioNTech
- 2022-12-23
-
2022-12-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, SwellingFree text: Pregnancy- spottingAdult check-in · check-in free text available
-
2022-12-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Diarrhea, Abdominal painFree text: Pregnancy- spotting, started after the shotAdult check-in · check-in free text available
- 2022-12-26
- 2022-12-27
- 2022-12-28
- 2022-12-29
- 2022-12-30
- 2023-01-06
- 2023-01-14
- 2023-01-20
- 2023-01-27
- 2023-02-03
- 2023-03-24
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Pfizer-BioNTech | |
| 2 | 2021-05-20 | Pfizer-BioNTech | |
| 3 | 2022-01-12 | Pfizer-BioNTech | No |
| 4 | 2022-12-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 42, dose 2
Symptoms: Broke out with hives and haven't changed anything in my diet or otherwise.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Pregnancy- spotting
Systemic reaction (other): Pregnancy- spotting, started after the shot
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 | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release