ESX-15997-09593
3 vaccinations
4 coded responses
38 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 210 / MD
- Registered
- 2021-06-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-16
Registered in v-safe
-
2021-06-18
Dose 1 — Pfizer-BioNTech
-
2021-06-18
Health check-in — day 0, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-19
- 2021-06-20
-
2021-06-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: May have headache because of period or hearing children cry all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-06-23
- 2021-06-24
- 2021-06-25
- 2021-07-02
-
2021-07-09
Dose 2 — Pfizer-BioNTech
- 2021-07-10
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-14
- 2021-07-15
- 2021-07-16
- 2021-07-23
- 2021-07-30
- 2021-08-06
- 2021-08-13
- 2021-08-20
- 2021-10-08
- 2022-01-07
-
2022-01-10
Dose 3 — Pfizer-BioNTech
- 2022-01-11
-
2022-01-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-01-13
- 2022-01-14
- 2022-01-15
- 2022-01-16
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-02-14
-
2022-02-21
Survey response — day 42, dose 3MedDRA: Pain in extremity, Peripheral swelling, Pruritus — Feeling: GoodFree text: Bump is where I'm assuming the shot was injected at. Along with itchiness and pain for that arm tooMedDRA releases: 2024-11 · check-in free text available
-
2022-04-11
Survey response — 3 months, dose 3MedDRA: Cough, Malaise, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Cough, runny nose, not feeling wellMedDRA releases: 2024-11 · check-in free text available
- 2022-07-13
-
2023-01-13
Survey response — 12 months, dose 3MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-13
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-16
- 2023-01-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-18 | Pfizer-BioNTech | |
| 2 | 2021-07-09 | Pfizer-BioNTech | No |
| 3 | 2022-01-10 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): May have headache because of period or hearing children cry all day.
Release 11 — day 42, dose 3
Symptoms: Bump is where I'm assuming the shot was injected at. Along with itchiness and pain for that arm too
Release 11 — 3 months, dose 3
Symptoms: Cough, runny nose, not feeling well
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release