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
-
2021-05-19
Dose 1 — Pfizer-BioNTech
-
2021-06-09
Dose 2 — Pfizer-BioNTech
-
2022-01-26
Dose 3 — Pfizer-BioNTech
-
2022-01-27
Registered in v-safe
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2022-01-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-29
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2022-02-02
Survey response — day 7, dose 3, dependentMedDRA: Heavy menstrual bleeding — Feeling: PoorFree text: Light menstrual bleeding every day since vaccination dayMedDRA releases: 2024-11 · check-in free text available
- 2022-02-12
- 2022-02-16
- 2022-02-24
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2022-03-10
Survey response — day 42, dose 3, dependentMedDRA: Lower respiratory tract infection, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest cold, high fever, body achesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
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2022-07-27
Survey response — 6 months, dose 3, dependentMedDRA: Anosmia, Memory impairment — Feeling: Good · Be unable to do your normal daily activitiesFree text: Memory issues , no sense of smellMedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Dose 4 — Pfizer-BioNTech
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2022-10-17
Health check-in — days 1–6 daily, dose 4, dependentFeeling: 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 activitiesAdult check-in
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2022-10-20
Survey response — days 1–6 daily, dose 4, dependentMedDRA: Menstruation irregular — Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Started period 2 weeks earlyMedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Health check-in — day 7, dose 4, dependentFeeling: Poor · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-10-30
Survey response — day 14, dose 4, dependentMedDRA: Diarrhoea, Dysmenorrhoea, Fatigue, Myalgia, Oropharyngeal pain, Pyrexia, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Diarrhea, extremely painful period cramps, fever, muscle aches, sore throat, exhaustion, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
-
2023-04-17
Survey response — 6 months, dose 4, dependentMedDRA: Anosmia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-19 | Pfizer-BioNTech | No |
| 2 | 2021-06-09 | Pfizer-BioNTech | No |
| 3 | 2022-01-26 | Pfizer-BioNTech | No |
| 4 | 2022-10-15 | Pfizer-BioNTech | No |
Free text
Release 11 — day 7, dose 3, dependent
Systemic reaction (other): Light menstrual bleeding every day since vaccination day
Release 11 — day 42, dose 3, dependent
Symptoms: Chest cold, high fever, body aches
Release 12 — 6 months, dose 3, dependent
Symptoms: Memory issues , no sense of smell
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): Started period 2 weeks early
Release 12 — day 14, dose 4, dependent
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Anosmia | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dysmenorrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Heavy menstrual bleeding | · | · | ✓ |
| SRO | Menstruation irregular | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release