Z9K-16658-63856
3 vaccinations
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 750 / TX
- Registered
- 2021-12-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2RE-14504-21632
Child or adolescent in my care · Male · 2021-12-10
Timeline
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2021-03-26
Dose 1 — Pfizer-BioNTech
-
2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-12-06
Dose 3 — Pfizer-BioNTech
-
2021-12-10
Registered in v-safe
-
2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sciatic nerve hurts since the shotMedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Sciatica — Feeling: FairFree text: Pain in sciatic nerve. Reducing each day but still thereMedDRA releases: 2024-11 · check-in free text available
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2021-12-22
Survey response — day 14, dose 3MedDRA: Pain in extremity, Self-medication, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe pain in the upper right leg while sleeping. Took a Tylenol and that helped.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
- 2022-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech | No |
| 2 | 2021-04-23 | Pfizer-BioNTech | No |
| 3 | 2021-12-06 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sciatic nerve hurts since the shot
Systemic reaction (other): Pain in sciatic nerve. Reducing each day but still there
Release 10 — day 14, dose 3
Symptoms: Severe pain in the upper right leg while sleeping. Took a Tylenol and that helped.
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 | Pain in extremity | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SRO | Sciatica | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release