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ZLV-87497-16130

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
117 / NY
Registered
2020-12-18
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-18
    Registered in v-safe
  2. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Muscle or body aches
    Free text: Sore throat very mild. Mild cough last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  10. 2021-01-15
    Survey response — day 7, dose 2
    MedDRA: Back pain, Mobility decreased, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Had right upper back pain 24 hrs after the 2nd dose (1/9/21) that lasted a week. Difficulty lifting the arm up. Used heating pad and analgesics
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-01-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-05
    Survey response — day 28, dose 2
    MedDRA: Body temperature increased, Pyrexia — Feeling: Good
    Free text: Low grade fever for the past few days 98.5-99.4
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-09
    Survey response — 3 months, dose 2
    MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat, headache and mild cough for 2-3 days (Sunday to Wednesday) now better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-04
    Dose 3 — Pfizer-BioNTech
  19. 2021-10-04
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches
    Adult check-in
  22. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-10-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-10-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-10-25
    Survey response — day 21, dose 3
    MedDRA: Cough, Influenza like illness, Oropharyngeal pain, Pain, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to work or attend school
    Free text: Flu-like symptoms cough, sneezing, sore throat, bodyache, chest congestion
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-05
    Survey response — 3 months, dose 3
    MedDRA: Hydronephrosis, Pyelonephritis — Feeling: Good · Be unable to work or attend school
    Free text: Hydronephrosis and pyelonephritis
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-04
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech
22021-01-08Pfizer-BioNTech
32021-10-04Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): Sore throat very mild. Mild cough last night

Release 2 — day 7, dose 2

2021-01-15

Systemic reaction (other): Had right upper back pain 24 hrs after the 2nd dose (1/9/21) that lasted a week. Difficulty lifting the arm up. Used heating pad and analgesics

Release 3 — day 28, dose 2

2021-02-05

Symptoms: Low grade fever for the past few days 98.5-99.4

Release 7 — 3 months, dose 2

2021-04-09

Symptoms: Sore throat, headache and mild cough for 2-3 days (Sunday to Wednesday) now better

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Flu-like symptoms cough, sneezing, sore throat, bodyache, chest congestion

Release 10 — 3 months, dose 3

2022-01-05

Symptoms: Hydronephrosis and pyelonephritis

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
SDBody temperature increased ✓ · ✓
SDCough ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHydronephrosis · · ✓
SDInfluenza like illness · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain · · ✓
SDPyelonephritis · · ✓
SDPyrexia ○ ✓ ○
SDRespiratory tract congestion · · ✓
SDSneezing · · ✓
SROBack pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROMobility decreased · · ✓
SROOropharyngeal pain ✓ ✓ ✓
SROSelf-medication · · ✓

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