FGV-29390-82119
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 658 / MO
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-16
Dose 1 — Pfizer-BioNTech
-
2021-01-06
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Registered in v-safe
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Urticaria — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: A flair of my chronic idiopathic urticaria 24 hrs after 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Urticaria — Feeling: FairFree text: Exacerbation of chronic idiopathic urticuriaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Survey response — day 7, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Chronic idiopathic urticaria flare resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-04-10
-
2021-07-07
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Now pregnant through FETMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-09-07
Dose 4 — ModernaCo-administered: Flu
- 2022-09-28
- 2022-10-11
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-09-07 | Moderna | Flu |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): A flair of my chronic idiopathic urticaria 24 hrs after 2nd dose
Systemic reaction (other): Exacerbation of chronic idiopathic urticuria
Release 2 — day 7, dose 2
Systemic reaction (other): Chronic idiopathic urticaria flare resolved
Release 9 — 6 months, dose 2
Symptoms: Now pregnant through FET
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 | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release