236-21966-95915
5 vaccinations
8 coded responses
61 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LTC-17774-36081
Child or adolescent in my care · Male · 2021-11-17
V6B-36532-91194
Child or adolescent in my care · Female · 2022-05-30
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Pfizer-BioNTech
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Good · Site: PainFree text: Transient lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
-
2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Sinus pain, Swelling face — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus pain and swelling in cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-04
-
2021-07-21
Survey response — 3 months, dose 2MedDRA: Body temperature increased, Cough, Headache, Nasal congestion, Nausea, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a 100 degree fever with stuffy and runny nose. Cough. Nausea. Headache.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
-
2021-11-05
Dose 3 — Pfizer-BioNTech
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Swelling — Feeling: Good · Fatigue or tirednessFree text: Swelling in my neck near my collarbone (left side).MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: GoodFree text: Still have small red lymph node swelling in left neck area near my collarboneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · HeadacheFree text: Slightly painful and swollen lymph nodes on left neck near collarboneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-05-27
Dose 4 — Pfizer-BioNTech
-
2022-05-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-31
- 2022-06-01
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
-
2022-08-26
Survey response — 3 months, dose 4MedDRA: Ageusia, Anosmia, COVID-19, Fatigue, Headache, Nausea, Pyrexia, Rhinorrhoea, Sinus pain, Throat irritation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid with scratchy throat, runny nose, sinus pain and headache, fever, nausea,fatigue,loss of taste and smell.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Dose 5 — Pfizer-BioNTech
- 2022-11-10
-
2022-11-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2022-12-22
- 2023-02-09
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-05-27 | Pfizer-BioNTech | No |
| 5 | 2022-11-10 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Transient lower back pain
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus pain and swelling in cheeks
Systemic reaction (other): Nasal congestion
Release 9 — 3 months, dose 2
Symptoms: Had a 100 degree fever with stuffy and runny nose. Cough. Nausea. Headache.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling in my neck near my collarbone (left side).
Systemic reaction (other): Still have small red lymph node swelling in left neck area near my collarbone
Systemic reaction (other): Slightly painful and swollen lymph nodes on left neck near collarbone
Release 12 — 3 months, dose 4
Symptoms: Covid with scratchy throat, runny nose, sinus pain and headache, fever, nausea,fatigue,loss of taste and smell.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release