EP4-27932-34619
1 vaccination
1 coded response
6 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 484 / MI
- Registered
- 2021-11-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2WD-91353-92058
Child or adolescent in my care · Female · 2021-11-11
9R7-58460-32888
Adult relative or friend · Male · 2021-11-12
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-11
Registered in v-safe
-
2021-11-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-14
-
2021-11-16
Survey response — days 1–6 daily, dose 1MedDRA: Anaemia, Deep vein thrombosis, Endometriosis, Polycystic ovarian syndrome, Pregnancy — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Preg - DVT - anemina - PCOS/endometrosis -MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | Flu |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Preg - DVT - anemina - PCOS/endometrosis -
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 | Anaemia | · | · | ✓ |
| SRO | Deep vein thrombosis | · | · | ✓ |
| SRO | Endometriosis | · | · | ✓ |
| SRO | Polycystic ovarian syndrome | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release