55E-18152-11090
4 vaccinations
5 coded responses
50 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 494 / MI
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
-
2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-04
- 2021-05-05
- 2021-05-12
- 2021-05-20
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
- 2021-10-29
-
2021-12-22
Dose 3 — Pfizer-BioNTech
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2021-12-29
-
2022-01-05
Survey response — day 14, dose 3MedDRA: Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion, Sinus headache, Upper-airway cough syndrome — Feeling: FairFree text: congestion, sore throat due to post nasal drip, sinus headache - I suffer from allergies, am certain this is due to dust allergy from heating systemsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-12
Survey response — day 21, dose 3MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Upper-airway cough syndrome — Feeling: FairFree text: Cough / post nasal drip worsening; tiredness; Received word that I was exposed to active covid-19 case, trying to get testedMedDRA releases: 2024-11 · check-in free text available
-
2022-01-19
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tiredness, congestion, cough, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
- 2022-02-02
- 2022-03-23
- 2022-06-23
-
2022-12-22
Dose 4 — Pfizer-BioNTechCo-administered: Shingles
-
2022-12-22
Survey response — day 0, dose 4MedDRA: Ear pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Pain/aching runs from injection arm, up neck & into an ear ache. But I think it's from the shingles shot not the covid boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
- 2022-12-24
-
2022-12-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-12-26
- 2022-12-27
- 2022-12-28
- 2022-12-29
- 2023-01-05
- 2023-01-12
- 2023-01-19
- 2023-01-26
- 2023-02-02
- 2023-03-23
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-12-22 | Pfizer-BioNTech | No |
| 4 | 2022-12-22 | Pfizer-BioNTech | Shingles |
Free text
Release 10 — day 14, dose 3
Symptoms: congestion, sore throat due to post nasal drip, sinus headache - I suffer from allergies, am certain this is due to dust allergy from heating systems
Release 10 — day 21, dose 3
Symptoms: Cough / post nasal drip worsening; tiredness; Received word that I was exposed to active covid-19 case, trying to get tested
Release 10 — day 28, dose 3
Symptoms: Tiredness, congestion, cough, sore throat
Release 12 — day 0, dose 4
Systemic reaction (other): Pain/aching runs from injection arm, up neck & into an ear ache. But I think it's from the shingles shot not the covid booster
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release