3XV-11719-65163
3 vaccinations
7 coded responses
36 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 061 / CT
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Pfizer-BioNTech
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2021-02-17
Health check-in — day 0, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
-
2021-03-10
Dose 2 — Pfizer-BioNTech
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2021-03-10
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: Good · Site: PainFree text: Face is flushedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny nose, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sneezing, head congestion, sore throat, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 7, dose 2MedDRA: Cough, Nasal congestion, Throat irritation — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Cough, nasal congestion, scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 14, dose 2MedDRA: Cough, Headache, Nasal congestion, Nasopharyngitis, Productive cough, Respiratory tract congestion, Throat clearing — Feeling: Fair · Be unable to workFree text: Coughing, clearing throat, headache, nasal and chest congestion, phlegm typical cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
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2021-09-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-02
- 2021-10-03
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Pyrexia — Feeling: GoodFree text: Not today. I was not contacted until several days after my booster. The night of and day after I got it I was a bit feverish and had chills. But that went away third day. I got flu shot earlier same day so don't know if that caused those things.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-29
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2022-03-29
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | Flu |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Face is flushed
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose, sneezing
Systemic reaction (other): Sneezing, head congestion, sore throat, runny nose
Release 5 — day 7, dose 2
Systemic reaction (other): Cough, nasal congestion, scratchy throat
Release 6 — day 14, dose 2
Symptoms: Coughing, clearing throat, headache, nasal and chest congestion, phlegm typical cold symptoms
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Not today. I was not contacted until several days after my booster. The night of and day after I got it I was a bit feverish and had chills. But that went away third day. I got flu shot earlier same day so don't know if that caused those things.
Release 11 — 6 months, dose 3
Symptoms: Covid
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Throat clearing | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release