4XQ-12202-49015
2 vaccinations
7 coded responses
23 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 235 / VA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2021-02-16
Dose 1 — Pfizer-BioNTech
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-23
- 2021-03-02
- 2021-03-11
- 2021-03-23
-
2021-03-25
Dose 2 — Moderna
-
2021-03-25
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Mood altered — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Just a little upset because they gave me two different shotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Just got the Pfizer shot One in the Moderno shot two Just a little concernedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: They give me two different shorts.so i am still upset about it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Will I sent Messages but no one has spoken to me yet so still a little upset about the two different two Shots that they gave meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Still no response about what happenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: No one as Respond to my text message so Im getting very upset about the situationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: No one has responded back to me yet still waiting on a responseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-05-01
- 2021-05-06
- 2021-06-24
- 2021-09-23
- 2022-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Just a little upset because they gave me two different shots
Systemic reaction (other): Just got the Pfizer shot One in the Moderno shot two Just a little concerned
Systemic reaction (other): They give me two different shorts.so i am still upset about it.
Systemic reaction (other): Will I sent Messages but no one has spoken to me yet so still a little upset about the two different two Shots that they gave me
Systemic reaction (other): Still no response about what happened
Systemic reaction (other): No one as Respond to my text message so Im getting very upset about the situation
Release 6 — day 7, dose 2
Systemic reaction (other): No one has responded back to me yet still waiting on a response
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 |
|---|---|---|---|---|
| SRO | Mood altered | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release