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ZUV-21840-60630

1 vaccination 2 coded responses 16 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
460 / IN
Registered
2021-04-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-12
    Registered in v-safe
  2. 2021-04-12
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Dizziness, Flushing, Heart rate increased, Hypersensitivity, Respiratory rate increased — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I forgot to report that when I first got the shot, I experienced a mild allergic reaction about 15 minutes after injection, and lasted for approximately 2 minutes. I experienced accelerated heart rate, slightly increased breath rate, overall weakness, dizziness, and I was flushed all over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-03
    Survey response — day 21, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Its probably not because of the vaccine, but I did develop food allergies all of the sudden; however, this occured after a chiropractic appointment, and after a couple days I believe the allergies have went away. I had a severe rash all over my torso
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-10
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-05-17
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-05-24
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-07-12
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-10-11
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2022-04-12
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-12Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): I forgot to report that when I first got the shot, I experienced a mild allergic reaction about 15 minutes after injection, and lasted for approximately 2 minutes. I experienced accelerated heart rate, slightly increased breath rate, overall weakness, dizziness, and I was flushed all over.

Release 8 — day 21, dose 1

2021-05-03

Symptoms: Its probably not because of the vaccine, but I did develop food allergies all of the sudden; however, this occured after a chiropractic appointment, and after a couple days I believe the allergies have went away. I had a severe rash all over my torso cut off by CDC

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
SDUnevaluable event ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SRORespiratory rate increased ✓ ✓ ✓

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