LX5-22759-94156
2 vaccinations
6 coded responses
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 240 / VA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-04-16
Registered in v-safe
-
2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-16
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2021-04-19
- 2021-04-22
- 2021-04-25
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Influenza, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Gripe , secreción nasalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 35, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11
-
2021-05-28
Survey response — day 42, dose 2MedDRA: Hypoacusis — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Headache, Pre-existing disease — Feeling: FairMedDRA releases: 2021-09,2024-11
- 2021-10-15
-
2022-04-18
Survey response — 12 months, dose 2MedDRA: Dry skin, Ear discomfort, Pruritus — 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
-
2022-04-18
Report sent to call center — 12 months, dose 2Be 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)
- 2022-04-19
-
2022-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — day 14, dose 2
Symptoms: Gripe , secreción nasal
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 | Chills | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hypoacusis | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release