4RJ-22850-06667
4 vaccinations
7 coded responses
55 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 993 / WA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2ZB-14397-11509
Child or adolescent in my care · Female · 2022-06-01
B9X-74060-90089
Child or adolescent in my care · Male · 2022-06-01
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I have Celiac Disease which did impact my ability to produce antibodies to the hepatitis B vaccine. Should you want to check to see if there is any CD problem with my response to the vaccine, you are welcome to have my blood for science.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2021-10-08
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-09
-
2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
-
2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: No nothingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-15
-
2021-10-22
Survey response — day 14, dose 3MedDRA: Gastroenteritis viral — Feeling: GoodFree text: I think I had a stomach bug. My child had it first.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-11-19
Survey response — day 42, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have swollen lymph nodes in chest and armpits.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
- 2022-04-08
-
2022-06-01
Dose 4 — Moderna
- 2022-06-01
-
2022-06-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Abdominal painAdult check-in
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
-
2022-06-15
Survey response — day 14, dose 4MedDRA: Lymph node pain, Lymphadenopathy, Vaccine positive rechallenge — Feeling: GoodFree text: My lymph nodes in my armpits are tender and a little swollen. This also happened with my previous Covid vaccine and my daughter's as well.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-07-13
-
2022-08-31
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have Covid 19MedDRA releases: 2024-11 · check-in free text available
- 2022-11-30
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | Flu |
| 4 | 2022-06-01 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have Celiac Disease which did impact my ability to produce antibodies to the hepatitis B vaccine. Should you want to check to see if there is any CD problem with my response to the vaccine, you are welcome to have my blood for science.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): No nothing
Release 10 — day 14, dose 3
Symptoms: I think I had a stomach bug. My child had it first.
Release 10 — day 42, dose 3
Symptoms: Still have swollen lymph nodes in chest and armpits.
Release 12 — day 14, dose 4
Symptoms: My lymph nodes in my armpits are tender and a little swollen. This also happened with my previous Covid vaccine and my daughter's as well.
Release 12 — 3 months, dose 4
Symptoms: I have Covid 19
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 | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release