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YCS-19191-58646

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
717 / AR
Registered
2021-10-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
VGS-15845-85029 Child or adolescent in my care · Male · 2022-02-26
2XF-20516-87411 Child or adolescent in my care · Male · 2022-02-26

Timeline

  1. 2021-10-22
    Registered in v-safe
  2. 2021-10-22
    Dose 1 — Pfizer-BioNTech
  3. 2021-10-22
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-10-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-10-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-10-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-10-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-10-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-10-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-10-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-11-05
    Survey response — day 14, dose 1
    MedDRA: Alopecia, Decreased appetite, Diarrhoea, Parosmia, Taste disorder — Feeling: Fair
    Free text: Loss of appetite, hair loss, diarrhea, and altered sense of smell and taste.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-12
    Dose 2 — Pfizer-BioNTech
  13. 2021-11-12
    Survey response — day 0, dose 2
    MedDRA: Dyspnoea, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness
    Free text: Profuse sweating and shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Profuse sweating
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-11-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-11-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-11-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Hyperhidrosis — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Loss of appetite and sweating
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  19. 2021-11-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Chest pains and shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  21. 2021-11-26
    Survey response — day 14, dose 2
    MedDRA: Alopecia, Decreased appetite, Dizziness, Ear pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Significant hair shedding/loss, loss of appetite, dizziness, ear pain, fever
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-03
    Survey response — day 21, dose 2
    MedDRA: Abdominal pain upper, Headache, Nasal congestion, Oropharyngeal pain, Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Itchy rash all over my body, headache, stomach cramps, nasal congestion, and sore throat
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-12-10
    Survey response — day 28, dose 2
    MedDRA: Dizziness, Fatigue, Headache, Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Itching rash on my body, headaches, fatigue, dizziness,
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-12-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-24
    Survey response — day 42, dose 2
    MedDRA: Cough, Dizziness, Ear pain, Fatigue, Headache, Nausea, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Nausea, headache, fatigue, dizziness, ear pain, congestion, and cough
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-02-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-05-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-11-12
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-10-22Pfizer-BioNTech No
22021-11-12Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 1

2021-11-05

Symptoms: Loss of appetite, hair loss, diarrhea, and altered sense of smell and taste.

Release 10 — day 0, dose 2

2021-11-12

Systemic reaction (other): Profuse sweating and shortness of breath

Release 10 — days 1–6 daily, dose 2

2021-11-13

Systemic reaction (other): Profuse sweating

2021-11-16

Systemic reaction (other): Loss of appetite and sweating

2021-11-18

Systemic reaction (other): Chest pains and shortness of breath

Release 10 — day 14, dose 2

2021-11-26

Symptoms: Significant hair shedding/loss, loss of appetite, dizziness, ear pain, fever

Release 10 — day 21, dose 2

2021-12-03

Symptoms: Itchy rash all over my body, headache, stomach cramps, nasal congestion, and sore throat

Release 10 — day 28, dose 2

2021-12-10

Symptoms: Itching rash on my body, headaches, fatigue, dizziness,

Release 10 — day 42, dose 2

2021-12-24

Symptoms: Nausea, headache, fatigue, dizziness, ear pain, congestion, and cough

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
SDAbdominal pain upper · · ✓
SDAlopecia · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDDiarrhoea · · ✓
SDDizziness · · ✓
SDEar pain · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNasal congestion · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDParosmia · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDRash pruritic · · ✓
SDRespiratory tract congestion · · ✓
SDTaste disorder · · ✓
SROChest pain · · ✓
SRODecreased appetite · · ✓
SRODyspnoea · · ✓
SROHyperhidrosis · · ✓

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