4JV-81073-66230
4 vaccinations
7 coded responses
51 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YYG-33124-05291
Child or adolescent in my care · Male · 2021-11-08
EH4-88474-30295
Child or adolescent in my care · Male · 2022-06-20
Timeline
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2021-01-07
Registered in v-safe
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2021-01-07
Dose 1 — Pfizer-BioNTech
- 2021-01-07
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-09
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: Sleeping longer than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
-
2021-01-28
Dose 2 — Pfizer-BioNTech
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2021-01-28
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-01
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-04-29
- 2021-07-29
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2021-09-27
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-10-04
Health check-in — day 7, dose 3Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-10-11
- 2021-10-18
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2021-10-25
Survey response — day 28, dose 3MedDRA: Hot flush, Menopausal symptoms — Feeling: GoodFree text: Hot flashes. I hadn't previously had any perimenopausal symptoms until the booster shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
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2021-12-27
Survey response — 3 months, dose 3MedDRA: Fatigue, Headache, Malaise, Oropharyngeal pain, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: FairFree text: Sore throat, headache, tired since 12/25. Negative rapid Covid tests on 12/25, 12/26 and got PCR this morning and awaiting result. I think it's Covid and wear mask in my house. Week prior to sx I went to grocery in mask as only indoors activity.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-28
- 2022-09-27
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2022-10-14
Dose 4 — Moderna
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2022-10-14
Health check-in — day 0, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-10-15
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Runny nose.MedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2022-10-18
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2022-10-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-21
- 2022-10-28
- 2022-11-04
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2022-11-11
Survey response — day 28, dose 4MedDRA: Cough, Decreased appetite, Fatigue, Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain, Poor quality sleep, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cold symptoms: fatigue, sore throat, cough, low appetite, not sleeping well, runny nose. No fever. Negative for flu, Covid (pcr and rapid) and strep.MedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — day 28, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-10-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sleeping longer than usual
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Sore throat
Release 10 — day 28, dose 3
Symptoms: Hot flashes. I hadn't previously had any perimenopausal symptoms until the booster shot.
Release 10 — 3 months, dose 3
Symptoms: Sore throat, headache, tired since 12/25. Negative rapid Covid tests on 12/25, 12/26 and got PCR this morning and awaiting result. I think it's Covid and wear mask in my house. Week prior to sx I went to grocery in mask as only indoors activity.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose.
Release 12 — day 28, dose 4
Symptoms: Cold symptoms: fatigue, sore throat, cough, low appetite, not sleeping well, runny nose. No fever. Negative for flu, Covid (pcr and rapid) and strep.
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 | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menopausal symptoms | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release