4EQ-33156-31706
3 vaccinations
6 coded responses
13 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 750 / TX
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
JW4-41862-36273
Child or adolescent in my care · Female · 2021-11-11
PL9-30652-84732
Child or adolescent in my care · Female · 2021-11-11
Timeline
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2021-02-10
Dose 1 — Pfizer-BioNTech
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2021-03-01
Dose 2 — Pfizer-BioNTech
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2021-03-03
Registered in v-safe
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Numbness in lips, face, head, 30 mins after vaccination was administered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Fatigue or tirednessFree text: Slight rash on knuckles. Some itching/burning where rash is. Hardly noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Ear pain, Paranasal sinus discomfort, Pruritus, Rash, Rash pruritic — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ear ache, sinus pressure. Mild rash on hands 2 nights ago, with burning and itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Paranasal sinus discomfort, Rash, Rhinorrhoea, Throat irritation, Tremor — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteFree text: Light headed/dizziness, scratchy throat, runny nose, sinus pressure, rash on face (started last night), shaky hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on face still. Mild. Hardly noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 7, dose 1MedDRA: Rash, Respiratory tract congestion, Throat irritation — Feeling: Good · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Scratchy throat. Congestion. Still have a mild rash on face. Hardly noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
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2021-11-26
Dose 3 — Moderna
- 2021-12-03
- 2021-12-10
- 2021-12-19
- 2021-12-24
- 2022-01-02
- 2022-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech | |
| 2 | 2021-03-01 | Pfizer-BioNTech | |
| 3 | 2021-11-26 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Numbness in lips, face, head, 30 mins after vaccination was administered.
Systemic reaction (other): Slight rash on knuckles. Some itching/burning where rash is. Hardly noticeable.
Systemic reaction (other): Ear ache, sinus pressure. Mild rash on hands 2 nights ago, with burning and itching.
Systemic reaction (other): Light headed/dizziness, scratchy throat, runny nose, sinus pressure, rash on face (started last night), shaky hands.
Systemic reaction (other): Rash on face still. Mild. Hardly noticeable.
Release 5 — day 7, dose 1
Systemic reaction (other): Scratchy throat. Congestion. Still have a mild rash on face. Hardly noticeable.
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 | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release