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2CB-22841-37891

3 vaccinations 16 coded responses 25 check-ins 16 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
937 / CA
Registered
2021-06-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
R82-18697-40949 Child or adolescent in my care · Female · 2021-06-18
ZG4-14475-60614 Child or adolescent in my care · Female · 2021-11-06

Timeline

  1. 2021-05-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-17
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-18
    Registered in v-safe
  4. 2021-06-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Eye pain, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Right eye hurt, right side of neck hurts, right side of back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain, Headache, Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Head ache on thr right side, eye hurts, neck hurt all on the right side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-06-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Diarrhea
    Adult check-in
  8. 2021-06-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  9. 2021-06-24
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  10. 2021-07-02
    Survey response — day 14, dose 2
    MedDRA: Dizziness — Feeling: Fair
    Free text: Feel light headed, nauseated, weak, nose running a little
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-08
    Survey response — day 21, dose 2
    MedDRA: Cough, Rhinorrhoea — Feeling: Good
    Free text: Nose running a little cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-15
    Survey response — day 28, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Seems like my nose is running more often
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-07-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-29
    Survey response — day 42, dose 2
    MedDRA: Headache, Tremor — Feeling: Poor · Be unable to work or attend school
    Free text: Severe headaches that started on the left side. That went to the middle the right. I was a little shaky
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-09-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-12-16
    Dose 3 — Moderna
  17. 2021-12-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-12-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Diarrhea
    Free text: Runny nose
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea — Feeling: Fair
    Free text: Nose running
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · Joint pains
    Adult check-in
  21. 2021-12-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Itching · Joint pains, Diarrhea
    Free text: Nose watery
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-25
    Health check-in — day 7, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  23. 2021-12-30
    Survey response — day 14, dose 3
    MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school
    Free text: A cold or something like it
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-01-06
    Survey response — day 21, dose 3
    MedDRA: Cough, Headache, Malaise, Pyrexia, Sensation of foreign body, Throat irritation — Feeling: Poor · Be unable to work or attend school
    Free text: Sick, scratchy throat, headache, fever, a wooping type cough, feels like something in my throat
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-01-13
    Survey response — day 28, dose 3
    MedDRA: Cough, Dizziness, Feeling of body temperature change, Headache, Sensation of foreign body, Sneezing — Feeling: Fair · Be unable to work or attend school
    Free text: Headache, bad cough, hot and cold, sneezing, dizzy, light headed throat felt funny like something was in it
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-01-22
    Survey response — day 35, dose 3
    MedDRA: Cough, Feeling hot, Headache, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school
    Free text: Cold symptoms like cough, hot, headache dry cough it's been three weeks now
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-01-27
    Survey response — day 42, dose 3
    MedDRA: Headache, Lethargy, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Headache, nose running, feel lethargic
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-06-20
    Survey response — 6 months, dose 3
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Nose leaks often like I have allergies
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-12-16
    Survey response — 12 months, dose 3
    MedDRA: Chills, Cough, Diarrhoea, Dizziness, Eye pain, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Body aches, fever, chills, coughing a bad cough, dizziness, eye pain, diarrhea.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-27Pfizer-BioNTech
22021-06-17Pfizer-BioNTech
32021-12-16Moderna No

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-18

Systemic reaction (other): Right eye hurt, right side of neck hurts, right side of back

2021-06-19

Systemic reaction (other): Head ache on thr right side, eye hurts, neck hurt all on the right side

Release 9 — day 14, dose 2

2021-07-02

Symptoms: Feel light headed, nauseated, weak, nose running a little

Release 9 — day 21, dose 2

2021-07-08

Symptoms: Nose running a little cough

Release 9 — day 28, dose 2

2021-07-15

Symptoms: Seems like my nose is running more often

Release 9 — day 42, dose 2

2021-07-29

Symptoms: Severe headaches that started on the left side. That went to the middle the right. I was a little shaky

Release 10 — days 1–6 daily, dose 3

2021-12-17

Systemic reaction (other): Runny nose

2021-12-18

Systemic reaction (other): Nose running

2021-12-21

Systemic reaction (other): Nose watery

Release 10 — day 14, dose 3

2021-12-30

Symptoms: A cold or something like it

Release 10 — day 21, dose 3

2022-01-06

Symptoms: Sick, scratchy throat, headache, fever, a wooping type cough, feels like something in my throat

Release 10 — day 28, dose 3

2022-01-13

Symptoms: Headache, bad cough, hot and cold, sneezing, dizzy, light headed throat felt funny like something was in it

Release 11 — day 35, dose 3

2022-01-22

Symptoms: Cold symptoms like cough, hot, headache dry cough it's been three weeks now

Release 11 — day 42, dose 3

2022-01-27

Symptoms: Headache, nose running, feel lethargic

Release 12 — 6 months, dose 3

2022-06-20

Symptoms: Nose leaks often like I have allergies

Release 12 — 12 months, dose 3

2022-12-16

Symptoms: Body aches, fever, chills, coughing a bad cough, dizziness, eye pain, diarrhea.

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
SDChills · · ✓
SDCough ✓ ✓ ✓
SDDiarrhoea · · ✓
SDDizziness ✓ ✓ ✓
SDEye pain · · ✓
SDFeeling hot · · ✓
SDFeeling of body temperature change · · ✓
SDHeadache ✓ · ✓
SDLethargy · · ✓
SDMalaise · · ✓
SDNasopharyngitis · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSensation of foreign body · · ✓
SDSneezing · · ✓
SDThroat irritation · · ✓
SDTremor ✓ · ✓
SROBack pain ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRORhinorrhoea · · ✓

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

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