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3C4-27270-90712

5 vaccinations 8 coded responses 49 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
813 / CO
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
VH3-99434-19511 Child or adolescent in my care · Female · 2021-11-04

Timeline

  1. 2021-02-13
    Registered in v-safe
  2. 2021-02-13
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-13
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Redness · Be unable to do your normal daily activities
    Free text: Very sharp back pain @ thoracic lumbar junction L side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Just not feeling right
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-02-22
    Survey response — day 7, dose 1
    MedDRA: Myalgia, Pain — Feeling: Good · Muscle or body aches
    Free text: Muscle soreness & body aches probably from sport activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-06
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  14. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Anxiety
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Free text: I rated yesterday as moderate but in retrospect I would rate as severe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  17. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-03-13
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-27
    Survey response — day 21, dose 2
    MedDRA: Lymphadenopathy, Pyrexia — Feeling: Good
    Free text: Fever and swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-03
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: Leg swelling & significant knee pain, especially on L side.May be from sport, but unlike anything Ive ever had other than pregnancy swelling of legs & ankles.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-06
    Survey response — 3 months, dose 2
    MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Congestion, sore throat, runny nose, cough, headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-09-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-02
    Dose 3 — Pfizer-BioNTech
  28. 2021-11-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-04-08
    Dose 4 — Moderna
  34. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  35. 2022-04-15
    Health check-in — day 7, dose 4
    Feeling: Fair · Headache
    Adult check-in
  36. 2022-04-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-01
    Dose 5 — Pfizer-BioNTech
  43. 2022-10-01
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  44. 2022-10-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  45. 2022-10-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2022-10-05
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache
    Adult check-in
  47. 2022-10-07
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  48. 2022-10-08
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  49. 2022-10-15
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-22
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-29
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-11-05
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-11-12
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-12-31
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  55. 2023-04-03
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Pfizer-BioNTech
22021-03-06Pfizer-BioNTech
32021-10-02Pfizer-BioNTech No
42022-04-08Moderna No
52022-10-01Pfizer-BioNTech No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Very sharp back pain @ thoracic lumbar junction L side

2021-02-16

Systemic reaction (other): Just not feeling right

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): Muscle soreness & body aches probably from sport activities

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Anxiety

2021-03-08

Systemic reaction (other): I rated yesterday as moderate but in retrospect I would rate as severe.

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Fever and swollen lymph nodes

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Leg swelling & significant knee pain, especially on L side.May be from sport, but unlike anything Ive ever had other than pregnancy swelling of legs & ankles.

Release 8 — 3 months, dose 2

2021-06-06

Symptoms: Congestion, sore throat, runny nose, cough, headache

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
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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