3DA-11140-90718
5 vaccinations
11 coded responses
64 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 272 / NC
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-03-22
Survey response — day 0, dose 1MedDRA: Pain — Feeling: GoodFree text: Just a little sore. No bandaid to avoid adhesive rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Tired because woke very early, but that is fairly normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Pfizer-BioNTech
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Im ready for a nap. I worked from home as usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Good · Site: Redness, SwellingFree text: Yesterday after checkin i had to leave work early. Took tylenol and a nap for an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Small rash noted on the same arm as the injection...a few inches lower. Does not itch. Notice it when changing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Small rash is fading quickly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-11-12
Dose 3 — Pfizer-BioNTech
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Arm was painful on day of injection Nov 12. Just a little sore since Sat Nov 13.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
-
2022-04-29
Dose 4 — Pfizer-BioNTech
- 2022-04-29
-
2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Somnolence — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Needed an afternoon nap.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-02
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Paranasal sinus discomfort, Pre-existing disease — Feeling: Good · HeadacheFree text: Weather and allergies. Sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
-
2022-09-16
Dose 5 — Moderna
- 2022-09-16
-
2022-09-17
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Lethargy, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Approx 11 hrs after vaccination body aches. Headaches and lethargy set in. Finally felt well enough to eat small lunchMedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
-
2022-09-19
Survey response — days 1–6 daily, dose 5MedDRA: Discomfort — Feeling: Good · HeadacheFree text: Could be weather or hayfever causing the pressureMedDRA releases: 2024-11 · check-in free text available
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-12 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
| 5 | 2022-09-16 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Just a little sore. No bandaid to avoid adhesive rash.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tired because woke very early, but that is fairly normal
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Im ready for a nap. I worked from home as usual
Systemic reaction (other): Yesterday after checkin i had to leave work early. Took tylenol and a nap for an hour
Systemic reaction (other): Small rash noted on the same arm as the injection...a few inches lower. Does not itch. Notice it when changing.
Systemic reaction (other): Small rash is fading quickly.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm was painful on day of injection Nov 12. Just a little sore since Sat Nov 13.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Needed an afternoon nap.
Systemic reaction (other): Weather and allergies. Sinus pressure
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Approx 11 hrs after vaccination body aches. Headaches and lethargy set in. Finally felt well enough to eat small lunch
Systemic reaction (other): Could be weather or hayfever causing the pressure
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lethargy | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release