XSB-31641-77486
3 vaccinations
2 coded responses
27 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 558 / MN
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
A58-24777-35155
Child or adolescent in my care · Female · 2021-11-24
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-24
Registered in v-safe
- 2021-01-25
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms — Feeling: Good · Abdominal painFree text: Had some cramping but am also having menstruation so likely attributed to thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
-
2021-02-10
Dose 2 — Pfizer-BioNTech
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 2MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Runny/stuffy nose, sore throat. Young daughter just got over minor coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-11-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Pfizer-BioNTech | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Had some cramping but am also having menstruation so likely attributed to that
Release 4 — day 14, dose 2
Symptoms: Runny/stuffy nose, sore throat. Young daughter just got over minor cold
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 | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release