2PJ-26986-15403
4 vaccinations
8 coded responses
52 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 110 / NY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: RednessFree text: Not to mention it, but a little runny nose yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good · Site: RednessFree text: Runny nose (clear) like a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Clear runny nose. By the way, its the Moderna vaccine, not Pfizer. Is there a way to correct that on this?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: No runny nose, not Pfizer but got modern vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Again, I got the Moderna shot, not the Pfizer shot. Sorry, made a mistake.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: What is the Moderno vaccine. And this is the results for March 10.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
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2021-03-31
Dose 2 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Pre-existing disease — Feeling: GoodFree text: Tingling feelings when lying down at night sleeping. In the left fingertips. Got the shot on the left side. Does have hypo parathyroidism and renal insufficiency and does tend to have an itch. And when her calcium level school though with the hypoparathyroidism she gets tingly but thats usually in the face. Chovteks sign. So the tingling in the fingers is different. ImMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-06
- 2021-04-07
- 2021-04-15
- 2021-04-23
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2021-04-28
Survey response — day 28, dose 2MedDRA: Blindness, Dry eye, Lacrimation increased, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Right eye sight on off but better now. But is medically complex. Lost vision a few years ago because of infection from dry in the left eye. Has hypo-parathyroidism from parathyroid surgery where all the glands were inadvertently taken out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-07-06
- 2021-10-01
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2021-10-30
Dose 3 — Moderna
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-21
- 2021-11-27
- 2021-12-05
- 2021-12-13
- 2022-01-31
- 2022-05-02
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2022-05-22
Dose 4 — Moderna
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-06-19
- 2022-06-27
- 2022-07-05
- 2022-08-21
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-05-22 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Not to mention it, but a little runny nose yesterday.
Systemic reaction (other): Runny nose (clear) like a cold
Systemic reaction (other): Clear runny nose. By the way, its the Moderna vaccine, not Pfizer. Is there a way to correct that on this?
Systemic reaction (other): No runny nose, not Pfizer but got modern vaccine
Systemic reaction (other): Again, I got the Moderna shot, not the Pfizer shot. Sorry, made a mistake.
Release 5 — day 7, dose 1
Systemic reaction (other): What is the Moderno vaccine. And this is the results for March 10.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling feelings when lying down at night sleeping. In the left fingertips. Got the shot on the left side. Does have hypo parathyroidism and renal insufficiency and does tend to have an itch. And when her calcium level school though with the hypoparathyroidism she gets tingly but thats usually in the face. Chovteks sign. So the tingling in the fingers is different. Im
Release 8 — day 28, dose 2
Symptoms: Right eye sight on off but better now. But is medically complex. Lost vision a few years ago because of infection from dry in the left eye. Has hypo-parathyroidism from parathyroid surgery where all the glands were inadvertently taken out.
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 | Blindness | ✓ | ✓ | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release