L7M-14864-86672
1 vaccination
1 coded response
2 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2021-11-17
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Registered dependents
D9W-32473-55882
Child or adolescent in my care · Female · 2021-11-17
Timeline
-
2021-11-10
Dose 1 — Pfizer-BioNTech
-
2021-11-17
Registered in v-safe
-
2021-11-17
Health check-in — day 7, dose 1Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-03
Survey response — day 21, dose 1MedDRA: Ageusia, Anosmia, Cough, Decreased appetite, Pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever ,body aches and pains,cough, runny nose ,no appetite , no taste no smellMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-10 | Pfizer-BioNTech | No |
Free text
Release 10 — day 21, dose 1
Symptoms: Fever ,body aches and pains,cough, runny nose ,no appetite , no taste no smell
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release