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VTV-23335-91082

4 vaccinations 1 coded response 15 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
272 / NC
Registered
2021-09-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
LBG-25961-42813 Child or adolescent in my care · Male · 2022-07-27

Timeline

  1. 2020-12-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-28
    Registered in v-safe
  4. 2021-09-28
    Dose 3 — Pfizer-BioNTech
  5. 2021-09-28
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Headache, Nausea
    Adult check-in
  9. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-10-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-10-12
    Survey response — day 14, dose 3
    MedDRA: Back pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Right upper back and arm pain. I don't think this is related to the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-19
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  14. 2021-10-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  18. 2022-03-31
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-08-22
    Dose 4 — Pfizer-BioNTech
  20. 2022-09-28
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Pfizer-BioNTech No
22021-01-13Pfizer-BioNTech No
32021-09-28Pfizer-BioNTech No
42022-08-22Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Right upper back and arm pain. I don't think this is related to the vaccine.

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
SDBack pain · · ✓
SDPain in extremity · · ✓

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

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