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R4B-20918-58007

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
921 / CA
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
K3D-20100-07139 Child or adolescent in my care · Male · 2022-06-25

Timeline

  1. 2021-02-23
    Registered in v-safe
  2. 2021-02-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-23
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain
    Free text: Arm felt a little numb initially.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dehydration — Feeling: Fair · Headache
    Free text: Might just need to hydrate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-03
    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. 2021-03-09
    Survey response — day 14, dose 1
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-19
    Dose 2 — Pfizer-BioNTech
  11. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-20
    Survey response — 3 months, dose 2
    MedDRA: Pregnancy — Feeling: Good
    Free text: Non viable pregnancy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-09-17
    Survey response — 6 months, dose 2
    MedDRA: Concussion — Feeling: Good · Be unable to do your normal daily activities
    Free text: Minor concussion
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-09
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Pfizer-BioNTech
22021-03-19Pfizer-BioNTech
32021-10-09Pfizer-BioNTech No

Free text

Release 4 — day 0, dose 1

2021-02-23

Systemic reaction (other): Arm felt a little numb initially.

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Might just need to hydrate

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Headaches

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Hot

Release 9 — 3 months, dose 2

2021-06-20

Symptoms: Non viable pregnancy

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Minor concussion

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
SDConcussion · · ✓
SDHeadache ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓

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