2W4-31555-49660
5 vaccinations
7 coded responses
46 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 968 / HI
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2JU-33077-75353
Adult relative or friend · Female · 2021-09-28
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Pfizer-BioNTech
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm where injection given mildly achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 42, dose 2MedDRA: Sinus congestion, Sinus headache — Feeling: GoodFree text: Sinus congestionprecursor to sinus headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Vertigo — Feeling: GoodFree text: Ive been having vertigo off and on havent had that for decades and am wondering if its a delayed adverse reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
-
2021-09-09
Dose 3 — Pfizer-BioNTech
- 2021-09-28
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-12-09
- 2022-03-10
-
2022-04-03
Dose 4 — Moderna
- 2022-04-03
-
2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Limb discomfort, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Slight discomfort on injection arm, like most shots.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: Pain in arm at injection site is nearly gone.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-06
-
2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Pruritus — Feeling: GoodFree text: The palm of my hands are mildly itching, like a mild allergy but haven't touched or consumed anything I know I'm allergic to, so puzzled and wonder if it's possible injection side effect.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: GoodFree text: Still slight itching of palms of both handsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
- 2022-04-10
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-03
-
2022-09-19
Dose 5 — Moderna
- 2022-09-28
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-03 | Moderna | No |
| 5 | 2022-09-19 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Arm where injection given mildly achy
Release 6 — day 42, dose 2
Symptoms: Sinus congestionprecursor to sinus headache
Release 8 — 3 months, dose 2
Symptoms: Ive been having vertigo off and on havent had that for decades and am wondering if its a delayed adverse reaction.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Slight discomfort on injection arm, like most shots.
Systemic reaction (other): Pain in arm at injection site is nearly gone.
Systemic reaction (other): The palm of my hands are mildly itching, like a mild allergy but haven't touched or consumed anything I know I'm allergic to, so puzzled and wonder if it's possible injection side effect.
Systemic reaction (other): Still slight itching of palms of both hands
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 | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release