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UJY-18165-63538

3 vaccinations 3 coded responses 27 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
852 / AZ
Registered
2021-01-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
YLW-52947-21436 Child or adolescent in my care · Female · 2022-07-07

Timeline

  1. 2021-01-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-16
    Registered in v-safe
  3. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  6. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-04
    Dose 2 — Pfizer-BioNTech
  9. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  12. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Ovarian cyst ruptured, Pre-existing disease — Feeling: Good · Be unable to work
    Free text: Ruptured ovarian cyst but I have endometriosis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-13
    Survey response — day 35, dose 2
    MedDRA: Cyst, Endometriosis, Pelvic pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extreme pelvic pain due to endometriosis flare up and cysts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-18
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  24. 2021-09-29
    Survey response — day 7, dose 3
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-10-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-10-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-10-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-10-30
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-03-19
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Pfizer-BioNTech
22021-02-04Pfizer-BioNTech
32021-09-18Pfizer-BioNTech Flu

Free text

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Ruptured ovarian cyst but I have endometriosis

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Extreme pelvic pain due to endometriosis flare up and cysts

Release 9 — day 7, dose 3

2021-09-29

Systemic reaction (other): Pregnancy

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
SDCyst ✓ ✓ ✓
SDEndometriosis ✓ ✓ ✓
SDOvarian cyst ruptured ✓ ✓ ✓
SDPelvic pain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROPregnancy · · ✓

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

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