4LN-49384-65497
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 623 / IL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9BW-94126-23970
Child or adolescent in my care · Male · 2021-11-29
YQP-67953-22940
Child or adolescent in my care · Male · 2021-11-29
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Having weird pain in axillae. Maybe its from lifting weights two days ago? Doesnt seem to be lymphatic. Very mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder — Feeling: Good · Site: PainFree text: Maybe slightly off balance last two mornings upon waking. Fine during day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Very slight dizziness in morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Upper-airway cough syndrome — Feeling: GoodFree text: Had post nasal dripMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-29
Dose 3 — Moderna
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
-
2022-02-28
Survey response — 3 months, dose 3MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Runny nose and sore throat and fatigue. Tested for COVID using at home BinaxNow twice, both negative. Children also had same symptoms (one of them had a fever) and both were at home tested once, both negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
-
2022-11-29
Survey response — 12 months, dose 3MedDRA: Pyrexia, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upper respiratory symptoms and fever. Home test for Covid negative x 3MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-11-29 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Having weird pain in axillae. Maybe its from lifting weights two days ago? Doesnt seem to be lymphatic. Very mild.
Systemic reaction (other): Maybe slightly off balance last two mornings upon waking. Fine during day.
Systemic reaction (other): Very slight dizziness in morning
Release 9 — 6 months, dose 2
Symptoms: Had post nasal drip
Release 11 — 3 months, dose 3
Symptoms: Runny nose and sore throat and fatigue. Tested for COVID using at home BinaxNow twice, both negative. Children also had same symptoms (one of them had a fever) and both were at home tested once, both negative.
Release 12 — 12 months, dose 3
Symptoms: Upper respiratory symptoms and fever. Home test for Covid negative x 3
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 | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release