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XFA-29652-44959

4 vaccinations 6 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
12-15
ZIP prefix
074 / NJ
Registered
2022-01-27
Relationship
Child or adolescent in my care
Guardian
CN7-18947-48704
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-05-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-09
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-26
    Dose 3 — Pfizer-BioNTech
  4. 2022-01-27
    Registered in v-safe
  5. 2022-01-27
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2022-01-29
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · None
    Adult check-in
  7. 2022-02-02
    Survey response — day 7, dose 3, dependent
    MedDRA: Heavy menstrual bleeding — Feeling: Poor
    Free text: Light menstrual bleeding every day since vaccination day
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-02-12
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  9. 2022-02-16
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2022-02-24
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-03-10
    Survey response — day 42, dose 3, dependent
    MedDRA: Lower respiratory tract infection, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Chest cold, high fever, body aches
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-27
  13. 2022-07-27
    Survey response — 6 months, dose 3, dependent
    MedDRA: Anosmia, Memory impairment — Feeling: Good · Be unable to do your normal daily activities
    Free text: Memory issues , no sense of smell
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-10-15
    Dose 4 — Pfizer-BioNTech
  15. 2022-10-17
    Health check-in — days 1–6 daily, dose 4, dependent
    Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  16. 2022-10-20
    Survey response — days 1–6 daily, dose 4, dependent
    MedDRA: Menstruation irregular — Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Started period 2 weeks early
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-10-22
    Health check-in — day 7, dose 4, dependent
    Feeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  18. 2022-10-30
    Survey response — day 14, dose 4, dependent
    MedDRA: Diarrhoea, Dysmenorrhoea, Fatigue, Myalgia, Oropharyngeal pain, Pyrexia, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Diarrhea, extremely painful period cramps, fever, muscle aches, sore throat, exhaustion, sneezing
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-11-05
    Health check-in — day 21, dose 4, dependent
    Feeling: Fair
    Adult check-in
  20. 2023-04-17
    Survey response — 6 months, dose 4, dependent
    MedDRA: Anosmia — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-05-19Pfizer-BioNTech No
22021-06-09Pfizer-BioNTech No
32022-01-26Pfizer-BioNTech No
42022-10-15Pfizer-BioNTech No

Free text

Release 11 — day 7, dose 3, dependent

2022-02-02

Systemic reaction (other): Light menstrual bleeding every day since vaccination day

Release 11 — day 42, dose 3, dependent

2022-03-10

Symptoms: Chest cold, high fever, body aches

Release 12 — 6 months, dose 3, dependent

2022-07-27

Symptoms: Memory issues , no sense of smell

Release 12 — days 1–6 daily, dose 4, dependent

2022-10-20

Systemic reaction (other): Started period 2 weeks early

Release 12 — day 14, dose 4, dependent

2022-10-30

Symptoms: Diarrhea, extremely painful period cramps, fever, muscle aches, sore throat, exhaustion, sneezing

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
SDAnosmia · · ✓
SDDiarrhoea · · ✓
SDDysmenorrhoea · · ✓
SDFatigue · · ✓
SDLower respiratory tract infection · · ✓
SDMemory impairment · · ✓
SDMyalgia · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDSneezing · · ✓
SROHeavy menstrual bleeding · · ✓
SROMenstruation irregular · · ✓

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