ZHB-21700-01716
3 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 173 / PA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
ZQN-23197-24620
Child or adolescent in my care · Female · 2021-10-29
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 2 — Pfizer-BioNTech
-
2021-04-10
Survey response — day 0, dose 2MedDRA: Palpitations — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: Heart felt a little racy, but gone after nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-19
-
2021-07-10
Survey response — 3 months, dose 2MedDRA: Self-medication, Supraclavicular fossa pain — Feeling: GoodFree text: More during our contact that I never attributed to the vaccine. Had pain in collar bone area towards the center. Lasted a few weeks, but finally subsided before I saw news about risk of Myocardia/Pericardia. Took Motrin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-09
-
2021-10-21
Dose 3 — Pfizer-BioNTech
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Fatigue, Injection site pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: These symptoms were on injection day 10/21/22. Felt fatigued for a few days, also soreness at injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-11
-
2021-11-18
Survey response — day 28, dose 3MedDRA: Abdominal pain upper, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Not sure if virus or flu. Vomiting for one day, and stomach cramps since Monday 11/15. No fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-25
- 2021-12-03
- 2022-01-22
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Heart felt a little racy, but gone after nap.
Release 9 — 3 months, dose 2
Symptoms: More during our contact that I never attributed to the vaccine. Had pain in collar bone area towards the center. Lasted a few weeks, but finally subsided before I saw news about risk of Myocardia/Pericardia. Took Motrin.
Release 10 — day 7, dose 3
Systemic reaction (other): These symptoms were on injection day 10/21/22. Felt fatigued for a few days, also soreness at injection site.
Release 10 — day 28, dose 3
Symptoms: Not sure if virus or flu. Vomiting for one day, and stomach cramps since Monday 11/15. No fever.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Supraclavicular fossa pain | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release