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4GT-20769-01462

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
923 / CA
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-04
    Registered in v-safe
  2. 2021-01-04
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-04
    Health check-in — day 0, dose 1
    Feeling: Good · Nausea
    Adult check-in
  4. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever
    Free text: Mild Tenderness to palpation over injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Survey response — day 14, dose 1
    MedDRA: Nasal congestion, Oropharyngeal pain, Rhinalgia, Skin lesion — Feeling: Good
    Free text: I had nasal congestion, nasal pain, a small lesion developed in my left nostril that was painful. I had a sore throat for one day (2 days ago).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-26
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-26
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Joint pains
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion — Feeling: Fair · Fatigue or tiredness
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Rhinalgia — Feeling: Good
    Free text: Nasal congestion on one side with soreness of septum
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis, Nasal congestion, Secretion discharge — Feeling: Good
    Free text: Nostril congestion and slight blood tinged mucous discharge
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Rhinalgia — Feeling: Good
    Free text: Mild nasal congestion with sore inside right nostril
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-03
    Survey response — day 7, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Still having blood tinged clear nasal discharge from right nostril
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-09
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Pfizer-BioNTech
22021-01-26Pfizer-BioNTech

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Mild Tenderness to palpation over injection site

Release 2 — day 14, dose 1

2021-01-18

Symptoms: I had nasal congestion, nasal pain, a small lesion developed in my left nostril that was painful. I had a sore throat for one day (2 days ago).

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Nasal congestion

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Nasal congestion on one side with soreness of septum

2021-01-30

Systemic reaction (other): Nostril congestion and slight blood tinged mucous discharge

2021-02-01

Systemic reaction (other): Mild nasal congestion with sore inside right nostril

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Still having blood tinged clear nasal discharge from right nostril

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

FieldPreferred term2021-092023-042024-11
SDNasal congestion ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRhinalgia ✓ ✓ ✓
SDSkin lesion ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SRORhinalgia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSecretion discharge ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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