ZXM-10642-52396
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 662 / KS
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
9DY-18210-57967
Child or adolescent in my care · Male · 2021-12-22
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
-
2021-01-25
Survey response — day 0, dose 1MedDRA: Arthralgia — Feeling: Good · Site: PainFree text: Shoulder painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 35, dose 2MedDRA: Back pain, Headache, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, backaches and trouble sleeping and staying asleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-05-14
Survey response — 3 months, dose 2MedDRA: Sinusitis — Feeling: FairFree text: SinusitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-12-12
Dose 3 — Pfizer-BioNTech
-
2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-12-14
- 2021-12-15
-
2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-12-19
- 2021-12-26
-
2022-01-02
Survey response — day 21, dose 3MedDRA: Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
- 2022-01-16
- 2022-01-23
- 2022-03-13
- 2022-06-12
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-12-12 | Pfizer-BioNTech | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Shoulder pain
Release 6 — day 35, dose 2
Symptoms: Headache, backaches and trouble sleeping and staying asleep
Release 8 — 3 months, dose 2
Symptoms: Sinusitis
Release 10 — day 21, dose 3
Symptoms: Fever, congestion
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release