4LJ-16333-80237
3 vaccinations
8 coded responses
41 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 018 / MA
- Registered
- 2021-06-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-12
Registered in v-safe
-
2021-06-12
Dose 1 — Pfizer-BioNTech
-
2021-06-12
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-06-14
-
2021-06-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-06-16
- 2021-06-17
- 2021-06-18
- 2021-06-21
- 2021-06-26
- 2021-07-03
-
2021-07-06
Dose 2 — Pfizer-BioNTech
- 2021-07-06
-
2021-07-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-08
- 2021-07-09
-
2021-07-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-20
- 2021-07-27
- 2021-08-03
- 2021-08-10
- 2021-08-17
-
2021-10-05
Survey response — 3 months, dose 2MedDRA: Cheilitis, Glossitis, Oral pruritus, Pruritus, Skin irritation, Throat irritation — Feeling: GoodFree text: Itchy back and mouth internal irritations on inner lips, cheeks, back of throat or tongue for the past few months.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
-
2022-02-10
Dose 3 — Pfizer-BioNTech
- 2022-02-10
-
2022-02-11
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Lightheaded and heart palpitationsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-02-13
- 2022-02-14
-
2022-02-15
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: GoodFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
-
2022-02-17
Health check-in — day 7, dose 3Feeling: Fair · Fever · Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-02-24
- 2022-03-03
- 2022-03-10
- 2022-03-17
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2022-03-24
Survey response — day 42, dose 3MedDRA: Cough, Pyrexia, Rhinorrhoea, Throat irritation — Feeling: Good · Be unable to work or attend schoolFree text: Scratchy throat. Bronchial cough. Runny nose, fever. Negative home test twice. 2day/5dayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
-
2022-08-11
Survey response — 6 months, dose 3MedDRA: Dysgeusia, Parosmia — Feeling: GoodFree text: My sense of smell comes and goes. Sometimes everything around me smells like trash! I can't figure out if it's an internal thing or what. I also have periods of time that I can't smell any of my herbs from the garden and some foods taste awful to me.MedDRA releases: 2024-11 · check-in free text available
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2023-02-10
Survey response — 12 months, dose 3MedDRA: Abnormal faeces, Anxiety, Blood pressure increased, Dizziness, Office visit, Oropharyngeal pain, Palpitations, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-10
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-12 | Pfizer-BioNTech | |
| 2 | 2021-07-06 | Pfizer-BioNTech | No |
| 3 | 2022-02-10 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): No
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheadedness
Release 10 — 3 months, dose 2
Symptoms: Itchy back and mouth internal irritations on inner lips, cheeks, back of throat or tongue for the past few months.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Lightheaded and heart palpitations
Systemic reaction (other): Lightheadedness
Release 11 — day 42, dose 3
Symptoms: Scratchy throat. Bronchial cough. Runny nose, fever. Negative home test twice. 2day/5day
Release 12 — 6 months, dose 3
Symptoms: My sense of smell comes and goes. Sometimes everything around me smells like trash! I can't figure out if it's an internal thing or what. I also have periods of time that I can't smell any of my herbs from the garden and some foods taste awful to me. cut off by CDC
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abnormal faeces | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Cheilitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Glossitis | · | · | ✓ |
| SD | Oral pruritus | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Skin irritation | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release