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JEV-84044-22368

3 vaccinations 2 coded responses 29 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
480 / MI
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino
Registered dependents
B4P-21763-58648 Child or adolescent in my care · Female · 2022-12-29

Timeline

  1. 2021-04-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Dose 2 — Pfizer-BioNTech
  4. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain · Headache
    Free text: Light headed and balance issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-16
    Dose 3 — Pfizer-BioNTech
  18. 2021-11-16
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Itching · Headache
    Adult check-in
  19. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  21. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  22. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Nausea
    Adult check-in
  23. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  25. 2021-11-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-12-02
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  27. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  28. 2021-12-14
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  29. 2021-12-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-02-15
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, tired, congestion
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-11-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Pfizer-BioNTech
22021-05-04Pfizer-BioNTech
32021-11-16Pfizer-BioNTech No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): Light headed and balance issues

Release 11 — 3 months, dose 3

2022-02-15

Symptoms: Headache, tired, congestion

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

FieldPreferred term2021-092023-042024-11
SDFatigue · · ✓
SDHeadache · · ✓
SDRespiratory tract congestion · · ✓
SROBalance disorder ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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