6J9-30097-34653
5 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-15
Registered in v-safe
- 2021-03-15
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Pfizer-BioNTech
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-09
- 2021-05-20
- 2021-07-02
- 2021-10-01
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-04
-
2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Lymphadenopathy, Myalgia, Nausea, Sensitive skin — Feeling: Good · Site: Swelling · Nausea, DiarrheaFree text: Missed reporting the last check-in. The evening of the day after the shot the symptoms were moderate to severe: nausea, muscle soreness, swollen glands, chills and super sensitive skin. Since then, the symptoms have been subsiding.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Red, itchy spots have appeased that i cant explain.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-11
- 2021-11-15
-
2022-01-03
Survey response — 3 months, dose 3MedDRA: Asthenia, Nausea — Feeling: GoodFree text: Exposed to someone who tested positive. Felt like i did after the booster (low energy and a little nauseus), but tested negative in at home test and later PCR test at pharmacy.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Dose 4 — Moderna
- 2022-04-04
-
2022-06-29
Survey response — 3 months, dose 4MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe sore throat and extreme tiredness.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Contracted covidMedDRA releases: 2024-11 · check-in free text available
-
2022-11-09
Dose 5 — Pfizer-BioNTech
- 2022-11-09
-
2022-11-10
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-11-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-11-12
-
2022-11-13
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain, Respiratory tract congestion — Feeling: GoodFree text: Minor soreness at the injection site and slight head stuffiness.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-14
- 2022-11-16
- 2022-11-25
- 2022-12-03
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2023-02-08
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Moderna | No |
| 5 | 2022-11-09 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Missed reporting the last check-in. The evening of the day after the shot the symptoms were moderate to severe: nausea, muscle soreness, swollen glands, chills and super sensitive skin. Since then, the symptoms have been subsiding.
Systemic reaction (other): Red, itchy spots have appeased that i cant explain.
Release 10 — 3 months, dose 3
Symptoms: Exposed to someone who tested positive. Felt like i did after the booster (low energy and a little nauseus), but tested negative in at home test and later PCR test at pharmacy.
Release 12 — 3 months, dose 4
Symptoms: Severe sore throat and extreme tiredness.
Release 12 — 6 months, dose 4
Symptoms: Contracted covid
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Minor soreness at the injection site and slight head stuffiness.
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 | Asthenia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release