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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

  1. 2021-04-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pregnancy — Feeling: Fair · Headache
    Free text: Pregnant - 22 weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lacrimation increased — Feeling: Fair · Headache
    Free text: Watery eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-05
    Dose 2 — Pfizer-BioNTech
  7. 2021-05-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  8. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills
    Adult check-in
  9. 2021-11-05
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Pfizer-BioNTech
22021-05-05Pfizer-BioNTech
32021-11-05Pfizer-BioNTech No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Pregnant - 22 weeks

2021-04-16

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

FieldPreferred term2021-092023-042024-11
SROLacrimation increased ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓

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