2JE-25557-43405
4 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 180 / PA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2NU-28078-16470
Child or adolescent in my care · Female · 2022-05-02
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
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2021-04-13
Health check-in — day 0, dose 1Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: D - 2 was terrible, headache so bad thats why I didnt do yesterdays check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain, SwellingFree text: Some soreness when raising arm where received shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-22
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
-
2021-05-04
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-10
- 2021-05-12
- 2021-05-20
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
-
2021-08-05
Survey response — 3 months, dose 2MedDRA: Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Have a cold with stuffy nose, headache, sore throat. 16 yr old Daughter who is fully vaccinated (Pfizer) developed symptoms first, then passed it to me. She was swabbed, awaiting COVID test results from test done yesterday evening.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-02
-
2021-12-15
Dose 3 — Moderna
-
2022-04-28
Dose 4 — Moderna
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Joint stiffness, Pyrexia, Throat irritation — Feeling: Good · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Day of injection I had low grade fever 100.9 stiff joints scratchy throat and terrible headache, which all subsided within about 48 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-05
- 2022-05-19
- 2022-06-09
- 2022-07-30
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): D - 2 was terrible, headache so bad thats why I didnt do yesterdays check in.
Systemic reaction (other): Some soreness when raising arm where received shot.
Release 9 — 3 months, dose 2
Symptoms: Have a cold with stuffy nose, headache, sore throat. 16 yr old Daughter who is fully vaccinated (Pfizer) developed symptoms first, then passed it to me. She was swabbed, awaiting COVID test results from test done yesterday evening.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Day of injection I had low grade fever 100.9 stiff joints scratchy throat and terrible headache, which all subsided within about 48 hours.
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 | Headache | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release