4JC-57847-90572
4 vaccinations
4 coded responses
40 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Pfizer-BioNTech
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Pfizer-BioNTech
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-09-27
-
2021-10-06
Dose 3 — Pfizer-BioNTech
-
2021-10-06
Survey response — day 0, dose 3MedDRA: Euphoric mood, Feeling abnormal, Immediate post-injection reaction — Feeling: Good · Be unable to work or attend schoolFree text: I felt a little bit "spacey", almost high in my head (as opposed to lightheaded, which I DEFINITELY would NOT characterize the way I felt!!!) for about an hour or so after receiving the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
-
2021-10-20
Survey response — day 14, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: I have had a bit of a light cough and a lot of congestion.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-04
- 2021-11-11
- 2021-11-17
-
2022-01-05
Survey response — 3 months, dose 3MedDRA: Gastrointestinal disorder, Headache, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: After traveling out of town for Christmas, I experienced gastrointestinal illness, nausea, headache and mild fever.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-06
Survey response — 6 months, dose 3MedDRA: Cough, Pyrexia, SARS-CoV-2 test negative — Feeling: GoodFree text: I recently had a temperature of 100.4° F along with a little bit of a cough. However, I took a home Covid test and it came up negative, and the next day my temperature was back to normal.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Dose 4 — Moderna
- 2022-10-06
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-09-28 | Moderna | No |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): I felt a little bit "spacey", almost high in my head (as opposed to lightheaded, which I DEFINITELY would NOT characterize the way I felt!!!) for about an hour or so after receiving the vaccine.
Release 10 — day 14, dose 3
Symptoms: I have had a bit of a light cough and a lot of congestion.
Release 10 — 3 months, dose 3
Symptoms: After traveling out of town for Christmas, I experienced gastrointestinal illness, nausea, headache and mild fever.
Release 11 — 6 months, dose 3
Symptoms: I recently had a temperature of 100.4° F along with a little bit of a cough. However, I took a home Covid test and it came up negative, and the next day my temperature was back to normal.
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Euphoric mood | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release