3UJ-15826-47808
4 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 803 / CO
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
- 2021-04-08
- 2021-04-09
- 2021-04-20
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Abdominal discomfort, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Productive cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal and chest congestion with mild sore throat. A wet, congestive cough. Occasional mild headaches. Fatigue. Lower GI track discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Survey response — day 42, dose 2MedDRA: Asthenia, Ear pain, Oropharyngeal pain, Skin irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Prior issues reported (GI tract and bad chest/head cold) cleared up and I now have an ear ache which extends to throat. Some odd patchy spots on forehead and scalp. Low energy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-04
-
2021-10-02
Survey response — 6 months, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: I have had elevated blood pressure readings lately.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Dose 3 — Pfizer-BioNTech
- 2022-04-05
-
2022-12-06
Dose 4 — Pfizer-BioNTech
- 2022-12-09
-
2022-12-09
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigued the day after the shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
- 2022-12-12
- 2022-12-13
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-01-10
- 2023-01-17
- 2023-03-07
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Pfizer-BioNTech | No |
| 4 | 2022-12-06 | Pfizer-BioNTech | No |
Free text
Release 8 — day 28, dose 2
Symptoms: Nasal and chest congestion with mild sore throat. A wet, congestive cough. Occasional mild headaches. Fatigue. Lower GI track discomfort.
Release 8 — day 42, dose 2
Symptoms: Prior issues reported (GI tract and bad chest/head cold) cleared up and I now have an ear ache which extends to throat. Some odd patchy spots on forehead and scalp. Low energy.
Release 9 — 6 months, dose 2
Symptoms: I have had elevated blood pressure readings lately.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Fatigued the day after the shot.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Skin irritation | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release