3S4-22779-14369
5 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 56-60
- ZIP prefix
- 020 / MA
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-31
-
2021-01-07
Dose 2 — Pfizer-BioNTech
- 2021-01-07
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just kept taking tylenol or motrin the past 24 hours. Took a long nap todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
-
2021-01-28
Survey response — day 21, dose 2MedDRA: Urticaria — Feeling: FairFree text: Hives that come and go all over my body. Taking claritin g in the morning and zyrtec in the evening to keep symptoms down. Started one wee ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Survey response — day 35, dose 2MedDRA: Self-medication, Urticaria — Feeling: FairFree text: Continue with hives that began two weeks after the second injection. Taking otc antihistamine at double dose to keep in manageable levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-04-08
- 2021-07-08
-
2021-10-13
Dose 3 — Pfizer-BioNTech
- 2022-01-07
-
2022-04-07
Dose 4 — Moderna
-
2022-04-15
Health check-in — day 7, dose 4Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-21
- 2022-04-28
- 2022-05-07
-
2022-05-12
Survey response — day 35, dose 4MedDRA: Asthma, Nasopharyngitis, Pre-existing disease, SARS-CoV-2 test negative — Feeling: FairFree text: Common cold with asthma trigger. COVID negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-07-07
-
2022-10-06
Dose 5 — Moderna
- 2022-10-06
- 2023-04-07
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Just kept taking tylenol or motrin the past 24 hours. Took a long nap today
Release 2 — day 21, dose 2
Symptoms: Hives that come and go all over my body. Taking claritin g in the morning and zyrtec in the evening to keep symptoms down. Started one wee ago.
Release 4 — day 35, dose 2
Symptoms: Continue with hives that began two weeks after the second injection. Taking otc antihistamine at double dose to keep in manageable levels
Release 11 — day 35, dose 4
Symptoms: Common cold with asthma trigger. 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthma | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release