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QEY-76475-71219

1 vaccination 3 coded responses 6 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
978 / OR
Registered
2021-10-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-10-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-10-15
    Registered in v-safe
  3. 2021-10-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Rash, Rash papular, Rash pruritic, Respiratory tract congestion, Rhinorrhoea, Urticaria — Feeling: Fair · Fatigue or tiredness
    Free text: Hives, congestion, runny nose, pain in right ear, and tiny raised itchy bumps on wrist and hands.
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Right ear pain, congestion
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Respiratory tract congestion, Urticaria — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mild hives, congestion, and ear pain.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-10-19
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2022-04-14
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-10-12Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-15

Systemic reaction (other): Hives, congestion, runny nose, pain in right ear, and tiny raised itchy bumps on wrist and hands.

2021-10-16

Systemic reaction (other): Right ear pain, congestion

2021-10-17

Systemic reaction (other): Mild hives, congestion, and ear pain.

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
SROEar pain · · ✓
SRORash · · ✓
SRORash papular · · ✓
SRORash pruritic · · ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓
SROUrticaria · · ✓

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