4HS-18847-96171
6 vaccinations
11 coded responses
64 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 856 / AZ
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-05
Registered in v-safe
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Taste disorder — Feeling: Good · Site: PainFree text: Slight chemical taste in mouth 3 hours after vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fatigue — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Yesterday I was dizzy but too fatigued to remember to mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pruritus, Self-medication, Skin burning sensation — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Yesterday: Fuzzy Thinking, I didn't feel comfortable about driving, so I didn't. LAST NIGHT: First my back @ 10 p.m. then the sides of my torso jad severe itchy burning skin, but my skin wasn't red. Steroid cream didn't help. Half a benadryl did. But, with this reaction, I wonder if I should avoid a Pfizar booster if we end up going in that direction, or try to get a different brand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Fuzzy thinking: ModerateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Insomnia: Moderate last night & the night before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Insomnia: Moderate last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-27
-
2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-29
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Fair · Headache, Fatigue or tirednessFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-04
Dose 4 — Moderna
- 2022-04-04
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Distractibility, Disturbance in attention, Memory impairment — Feeling: GoodFree text: Throughout yesterday (day after booster), I had lots of brain fog. I couldn't focus well; I kept forgetting what I was trying to do; I kept getting distracted. Back to normal today. Thank goodness!MedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-07-04
-
2022-09-08
Dose 5 — Pfizer-BioNTech
- 2022-10-13
-
2022-10-20
Survey response — day 42, dose 5MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold, coughing, runny nose, sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
-
2023-03-09
Survey response — 6 months, dose 5MedDRA: Depression, Fatigue — Feeling: FairMedDRA releases: 2024-11
-
2023-05-01
Dose 6 — Moderna
- 2023-05-01
-
2023-05-02
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2023-05-03
Survey response — days 1–6 daily, dose 6MedDRA: Depression — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-04
- 2023-05-05
- 2023-05-06
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-08 | Pfizer-BioNTech | No |
| 6 | 2023-05-01 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slight chemical taste in mouth 3 hours after vaccine.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I was dizzy but too fatigued to remember to mention it.
Systemic reaction (other): Yesterday: Fuzzy Thinking, I didn't feel comfortable about driving, so I didn't. LAST NIGHT: First my back @ 10 p.m. then the sides of my torso jad severe itchy burning skin, but my skin wasn't red. Steroid cream didn't help. Half a benadryl did. But, with this reaction, I wonder if I should avoid a Pfizar booster if we end up going in that direction, or try to get a different brand.
Systemic reaction (other): Fuzzy thinking: Moderate
Systemic reaction (other): Insomnia: Moderate last night & the night before.
Systemic reaction (other): Insomnia: Moderate last night
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Insomnia
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Throughout yesterday (day after booster), I had lots of brain fog. I couldn't focus well; I kept forgetting what I was trying to do; I kept getting distracted. Back to normal today. Thank goodness!
Release 12 — day 42, dose 5
Symptoms: Cold, coughing, runny nose, sore throat.
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 | Depression | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Depression | · | · | ✓ |
| SRO | Distractibility | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Memory impairment | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release