22H-15953-03988
4 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 660 / KS
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Pfizer-BioNTech
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 2 — Pfizer-BioNTech
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: My husband was diagnosed with Covid a week before I received my 2nd vaccine. My test was negative and it was decided by my provider to go ahead with my 2nd vaccine. We both had our first Pfizer vaccine. He is high risk because of chronic Crohns and is on Remicade. They gave him monoclonal antibody infusion today. His symptoms are mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Pain in left shoulder just above injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-21
- 2021-03-26
-
2021-04-02
Survey response — day 21, dose 2MedDRA: Cough, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dry, tight sounding cough, fatigue today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-24
- 2021-06-13
- 2021-09-10
-
2021-10-14
Dose 3 — Pfizer-BioNTech
- 2022-03-12
-
2022-04-01
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-15
- 2022-07-01
- 2022-10-02
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My husband was diagnosed with Covid a week before I received my 2nd vaccine. My test was negative and it was decided by my provider to go ahead with my 2nd vaccine. We both had our first Pfizer vaccine. He is high risk because of chronic Crohns and is on Remicade. They gave him monoclonal antibody infusion today. His symptoms are mild.
Systemic reaction (other): Pain in left shoulder just above injection site
Release 6 — day 21, dose 2
Symptoms: Dry, tight sounding cough, fatigue today.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release