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X69-15769-22297

3 vaccinations 3 coded responses 34 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
430 / OH
Registered
2021-08-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
B3H-89457-76687 Child or adolescent in my care · Female · 2022-06-26
H4J-12564-84532 Child or adolescent in my care · Female · 2022-06-26

Timeline

  1. 2021-08-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-08-23
    Registered in v-safe
  3. 2021-08-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-08-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-08-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-08-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-27
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-09-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-10
    Dose 2 — Pfizer-BioNTech
  10. 2021-09-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-09-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-09-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  13. 2021-09-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-09-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-09-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-09-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-09-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-09-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-08
    Survey response — day 28, dose 2
    MedDRA: Sinusitis — Feeling: Good
    Free text: Sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-03-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-06-25
    Dose 3 — Pfizer-BioNTech
  26. 2022-06-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Low back pain
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-06-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-06-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2022-06-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2022-06-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2022-07-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2022-07-02
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2022-07-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-07-18
    Survey response — day 21, dose 3
    MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Poor
    Free text: Runny nose, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-07-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-07-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-08-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-09-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-20Pfizer-BioNTech No
22021-09-10Pfizer-BioNTech No
32022-06-25Pfizer-BioNTech No

Free text

Release 10 — day 28, dose 2

2021-10-08

Symptoms: Sinus infection

Release 12 — days 1–6 daily, dose 3

2022-06-26

Systemic reaction (other): Low back pain

Release 12 — day 21, dose 3

2022-07-18

Symptoms: Runny nose, sore throat

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
SDOropharyngeal pain · · ✓
SDRhinorrhoea · · ✓
SDSinusitis · · ✓
SROBack pain · · ✓

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

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