WR9-21883-60381
3 vaccinations
2 coded responses
5 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 950 / CA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TJV-29702-80331
Child or adolescent in my care · Female · 2022-06-23
Timeline
-
2021-04-14
Dose 1 — Pfizer-BioNTech
-
2021-04-15
Registered in v-safe
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Fair · HeadacheFree text: Pregnant - 22 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Lacrimation increased — Feeling: Fair · HeadacheFree text: Watery eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-05-05
Dose 2 — Pfizer-BioNTech
-
2021-05-05
Health check-in — day 0, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-05-06
-
2021-11-05
Dose 3 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | |
| 2 | 2021-05-05 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Pregnant - 22 weeks
Systemic reaction (other): Watery eyes
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 |
|---|---|---|---|---|
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release