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3P9-23080-42240

4 vaccinations 7 coded responses 34 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
494 / MI
Registered
2020-12-30
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-22
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-30
    Registered in v-safe
  3. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-15
    Dose 2 — Pfizer-BioNTech
  7. 2021-01-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-01-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eyelids pruritus, Hypersensitivity, Self-medication, Swelling of eyelid — Feeling: Good · Site: Pain
    Free text: Had an allergic reaction and sweeping of my left eyelid last night, but no rash. Also seem to be more itchy than normal, but that has already improved with single dose of Benadryl. Unsure if related to vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-01-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free text: Still having weird hives around eyes that are all limited.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free text: Mild hives on face at night. Still unsure if related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-16
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good
    Free text: Had a small cold.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-09-28
    Dose 3 — Pfizer-BioNTech
  22. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  23. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tenderness — Feeling: Good · Site: Pain
    Free text: Mild left axillary tenderness - but already improving.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-10-28
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-29
    Survey response — 6 months, dose 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good
    Free text: Regular cold. Tested negative for COViD.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-09-28
    Survey response — 12 months, dose 3
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good
    Free text: Small cold. Covid negative.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-10-05
    Dose 4 — Moderna
    Co-administered: Flu
  36. 2022-10-20
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-11-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-16
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  39. 2023-01-06
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-22Pfizer-BioNTech
22021-01-15Pfizer-BioNTech
32021-09-28Pfizer-BioNTech No
42022-10-05Moderna Flu

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-17

Systemic reaction (other): Had an allergic reaction and sweeping of my left eyelid last night, but no rash. Also seem to be more itchy than normal, but that has already improved with single dose of Benadryl. Unsure if related to vaccine.

2021-01-20

Systemic reaction (other): Still having weird hives around eyes that are all limited.

2021-01-21

Systemic reaction (other): Mild hives on face at night. Still unsure if related.

Release 9 — 6 months, dose 2

2021-07-16

Symptoms: Had a small cold.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Mild left axillary tenderness - but already improving.

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Regular cold. Tested negative for COViD.

Release 12 — 12 months, dose 3

2022-09-28

Symptoms: Small cold. Covid negative.

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
SDNasopharyngitis ✓ · ✓
SDSARS-CoV-2 test negative · · ✓
SROEyelids pruritus ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling of eyelid ✓ ✓ ✓
SROTenderness · · ✓
SROUrticaria ✓ ✓ ✓

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