4TH-33436-76792
4 vaccinations
3 coded responses
47 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 630 / MO
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Pfizer-BioNTech
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: I did wake toward morning and felt somewhat and had difficulty going back to sleep. I think I lay awake about a half hour. However I felt normal when I woke this morning and have pursued by normal activities including my daily hour walkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
-
2021-10-09
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Survey response — day 14, dose 3MedDRA: Emotional distress, Feeling hot, Hyperhidrosis, Nausea, Nervousness — Feeling: Good · Be unable to do your normal daily activitiesFree text: About 2:00 AM Sunday morning I awoke and lay an hour. I woke about 4:30 and felt a queasy but didn't throw up. I felt and shaky. The shakiness was compounded because I very upset. I also felt warm and then a little sweaty I didn't take my temperatuMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
- 2022-03-31
-
2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-16
- 2022-04-22
- 2022-04-30
- 2022-05-07
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I did wake toward morning and felt somewhat and had difficulty going back to sleep. I think I lay awake about a half hour. However I felt normal when I woke this morning and have pursued by normal activities including my daily hour walk
Release 10 — day 7, dose 3
Systemic reaction (other): No
Release 10 — day 14, dose 3
Symptoms: About 2:00 AM Sunday morning I awoke and lay an hour. I woke about 4:30 and felt a queasy but didn't throw up. I felt and shaky. The shakiness was compounded because I very upset. I also felt warm and then a little sweaty I didn't take my temperatu 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 |
|---|---|---|---|---|
| SD | Emotional distress | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nervousness | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release