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4TZ-28148-02381

4 vaccinations 11 coded responses 36 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
077 / NJ
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-06
    Registered in v-safe
  3. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  5. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Meniscus injury, Pre-existing disease — Feeling: Good
    Free text: My right knee has mild pain. This acts up from time to time- had a torn meniscus Level isn2 out of 5
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  8. 2021-01-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-26
    Survey response — day 21, dose 1
    MedDRA: Oral herpes — Feeling: Good
    Free text: Cold sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  11. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-24
    Survey response — day 28, dose 2
    MedDRA: Malaise, Nasal congestion — Feeling: Good
    Free text: Stuffy & runny nose with mild malaise for 36 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-03
    Survey response — day 35, dose 2
    MedDRA: Oral herpes — Feeling: Fair
    Free text: I have a second cold sore in three weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Allergies to tree pollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  21. 2021-09-27
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  22. 2021-09-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Sinus congestion, Throat irritation — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Feel some mild sinus congestion, mild scratchey throat
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-09-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Malaise, Pre-existing disease — Feeling: Fair · Muscle or body aches
    Free text: I had knee arthroscopic surgery two years ago and it acts up when I am not feeling well. I had pain in that knee yesterday eve and today
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Aphthous ulcer, Sinus headache — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Sinus headache, canker sore
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease, Sinus headache — Feeling: Fair
    Free text: Sinus headache and increase nasal allergies
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-10-25
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  32. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-27
    Survey response — 3 months, dose 3
    MedDRA: Influenza virus test negative, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Viral symptoms but negative for COVID-19 (PCR) & antigen and flu. Lasted 3 days (mid October)
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-03-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-04-07
    Dose 4 — Pfizer-BioNTech
  37. 2022-05-15
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  39. 2022-07-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-06
    Survey response — 6 months, dose 4
    MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school
    Free text: Covid Aug16!positive test, symptoms began Aug14
    MedDRA releases: 2024-11 · check-in free text available
  41. 2023-04-07
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No
42022-04-07Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): My right knee has mild pain. This acts up from time to time- had a torn meniscus Level isn2 out of 5

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Cold sore

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Stuffy & runny nose with mild malaise for 36 hours

Release 4 — day 35, dose 2

2021-03-03

Symptoms: I have a second cold sore in three weeks

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Allergies to tree pollen

Release 9 — days 1–6 daily, dose 3

2021-09-28

Systemic reaction (other): Feel some mild sinus congestion, mild scratchey throat

2021-09-29

Systemic reaction (other): I had knee arthroscopic surgery two years ago and it acts up when I am not feeling well. I had pain in that knee yesterday eve and today

2021-10-01

Systemic reaction (other): Sinus headache, canker sore

2021-10-03

Systemic reaction (other): Sinus headache and increase nasal allergies

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Viral symptoms but negative for COVID-19 (PCR) & antigen and flu. Lasted 3 days (mid October)

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: Covid Aug16!positive test, symptoms began Aug14

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

FieldPreferred term2021-092023-042024-11
SDInfluenza virus test negative · · ✓
SDMalaise ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SDViral infection · · ✓
SROAphthous ulcer · · ✓
SROArthralgia ✓ ✓ ✓
SROMalaise · · ✓
SROMeniscus injury ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSinus congestion · · ✓
SROSinus headache · · ✓
SROThroat irritation · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release