4FW-33020-12875
4 vaccinations
3 coded responses
29 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Pfizer-BioNTech
-
2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Eructation — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: excessive burpingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-30
-
2021-07-16
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Experiencing cold-like symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-15
-
2021-11-16
Dose 3 — Pfizer-BioNTech
- 2022-04-16
- 2022-05-17
-
2022-10-03
Dose 4 — Pfizer-BioNTech
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
-
2023-01-02
Survey response — 3 months, dose 4MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
| 4 | 2022-10-03 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): excessive burping
Release 9 — 3 months, dose 2
Symptoms: Experiencing cold-like symptoms
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release