4T9-16157-79669
5 vaccinations
8 coded responses
49 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 495 / MI
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R8J-23067-51988
Adult relative or friend · Male · 2022-04-23
Timeline
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2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-03
Registered in v-safe
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Had a mild runny nose for two days but that seems to have gone away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-03-01
Dose 2 — Pfizer-BioNTech
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Muscle or body aches, NauseaAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Fever · Joint painsFree text: Knee hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: This is the first day since vaccination that my right knee hasnt ached. I dont know if the knee pain was from yoga, the vaccine or a combination of both.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
-
2021-03-22
Survey response — day 21, dose 2MedDRA: Pruritus, Rash, Rash papular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Itching on arms, back and legs. Small raised bumps appeared on arms. Larger bumps appeared on thighs and shins. Had to keep heavy duty lotion on arms and legs to ease itching and use goat milk soap for bathing. Rash lasted 4-5 days before it cleared.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
- 2021-08-30
-
2021-10-10
Dose 3 — Pfizer-BioNTechCo-administered: Tetanus
- 2022-03-01
-
2022-06-26
Dose 4 — Pfizer-BioNTech
- 2022-06-26
- 2022-06-27
-
2022-06-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-06-30
-
2022-07-01
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Ligament sprain — Feeling: Good · Joint painsFree text: Twisted knee; this is probably why my joints hurt.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-02
- 2022-07-03
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2022-07-10
Survey response — day 14, dose 4MedDRA: Asthma — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Asthmatic bronchitisMedDRA releases: 2024-11 · check-in free text available
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-08-07
- 2022-09-25
-
2022-11-21
Dose 5 — Pfizer-BioNTech
- 2022-11-25
- 2022-11-26
- 2022-11-27
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-01-02
- 2023-02-20
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2023-05-22
Survey response — 6 months, dose 5MedDRA: Cough, Sinus disorder — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-03-01 | Pfizer-BioNTech | |
| 3 | 2021-10-10 | Pfizer-BioNTech | Tetanus |
| 4 | 2022-06-26 | Pfizer-BioNTech | No |
| 5 | 2022-11-21 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Had a mild runny nose for two days but that seems to have gone away.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Knee hurts
Systemic reaction (other): This is the first day since vaccination that my right knee hasnt ached. I dont know if the knee pain was from yoga, the vaccine or a combination of both.
Systemic reaction (other): Runny nose
Release 6 — day 21, dose 2
Symptoms: Itching on arms, back and legs. Small raised bumps appeared on arms. Larger bumps appeared on thighs and shins. Had to keep heavy duty lotion on arms and legs to ease itching and use goat milk soap for bathing. Rash lasted 4-5 days before it cleared. cut off by CDC
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Twisted knee; this is probably why my joints hurt.
Release 12 — day 14, dose 4
Symptoms: Asthmatic bronchitis
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 | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Ligament sprain | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release