4XZ-29095-14095
3 vaccinations
4 coded responses
37 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 379 / TN
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8GK-24012-43271
Child or adolescent in my care · Male · 2021-11-12
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Survey response — day 35, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: This week I came down with a cold: congestion, sore throat, and mild cough. Probably not related to COVID or the vaccine. Tested negative for COVID.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — day 42, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to workFree text: I had a cold. Congestion, sore throat, caugh. Unrelated to COVID and Vaccine. Covid test came back negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
- 2021-09-29
-
2021-11-11
Dose 3 — Moderna
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-26
- 2021-12-02
- 2021-12-09
- 2021-12-16
-
2021-12-23
Survey response — day 42, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: Congestion and sore throat. Probably a cold that is going through the family.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-10
Survey response — 3 months, dose 3MedDRA: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Mild nose congestion and sore throat. Minimal other symptoms. This lasted about three to four days. An at home rapid test came back positive for COVID.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Moderna | No |
Free text
Release 8 — day 35, dose 2
Symptoms: This week I came down with a cold: congestion, sore throat, and mild cough. Probably not related to COVID or the vaccine. Tested negative for COVID.
Release 8 — day 42, dose 2
Symptoms: I had a cold. Congestion, sore throat, caugh. Unrelated to COVID and Vaccine. Covid test came back negative.
Release 10 — day 42, dose 3
Symptoms: Congestion and sore throat. Probably a cold that is going through the family.
Release 11 — 3 months, dose 3
Symptoms: Mild nose congestion and sore throat. Minimal other symptoms. This lasted about three to four days. An at home rapid test came back positive for COVID.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release