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ZP8-22030-77017

3 vaccinations 8 coded responses 40 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
551 / MN
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
5FV-22820-98149 Child or adolescent in my care · Male · 2022-01-10
9BV-19396-26482 Child or adolescent in my care · Female · 2022-01-10
W9C-24330-01521 Child or adolescent in my care · Female · 2022-01-10

Timeline

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Peripheral coldness — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Left leg and foot feel cold and toes a bit numb
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Limb discomfort, Neuralgia, Paraesthesia — Feeling: Good
    Free text: My left calf muscle feels like the nerve is being pressed. It feels like a bit tingly from calf muscle and goes along my shin bone to my inside ankle bone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-30
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-30
    Survey response — day 0, dose 2
    MedDRA: Back pain, Injection site pain — Feeling: Good · Fatigue or tiredness
    Free text: My lower back kind of hurts on right side. My arm at inject site felt like i rubbed icy hot on it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-11
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  29. 2022-01-11
    Survey response — day 0, dose 3
    MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: My feet and hands are super cold
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Musculoskeletal discomfort — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Lower back discomfort.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-01-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain
    Adult check-in
  32. 2022-01-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Under arm lymph node on right arm feels swollen
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2022-01-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Muscle spasms — Feeling: Good · Abdominal pain
    Free text: Cramping on my right side just under my rib. I drank 2 glasses of water and it felt better.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-01-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2022-01-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2022-01-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-02-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-04-12
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-07-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2023-01-13
    Survey response — 12 months, dose 3
    MedDRA: Fatigue, Headache, Menstruation irregular — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-04-30Pfizer-BioNTech
32022-01-11Pfizer-BioNTech Flu

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Left leg and foot feel cold and toes a bit numb

2021-04-13

Systemic reaction (other): My left calf muscle feels like the nerve is being pressed. It feels like a bit tingly from calf muscle and goes along my shin bone to my inside ankle bone.

Release 8 — day 0, dose 2

2021-04-30

Systemic reaction (other): My lower back kind of hurts on right side. My arm at inject site felt like i rubbed icy hot on it.

Release 10 — day 0, dose 3

2022-01-11

Systemic reaction (other): My feet and hands are super cold

Release 10 — days 1–6 daily, dose 3

2022-01-12

Systemic reaction (other): Lower back discomfort.

2022-01-14

Systemic reaction (other): Under arm lymph node on right arm feels swollen

2022-01-16

Systemic reaction (other): Cramping on my right side just under my rib. I drank 2 glasses of water and it felt better.

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
SDFatigue · · ✓
SDHeadache · · ✓
SDMenstruation irregular · · ✓
SROBack pain ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROMuscle spasms · · ✓
SROMusculoskeletal discomfort · · ✓
SRONeuralgia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓

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