6JS-40702-32058
4 vaccinations
6 coded responses
48 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Pfizer-BioNTech
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: I am menstruating and the pain is likely relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-05-16
Dose 2 — Pfizer-BioNTech
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Fatigue, Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: I had a sore arm the day of and 3 days after second shot. I had some fatigue two days after my second shot. I had very red cheeks the morning after my second shot. In comparison, I had more severe side effects with my first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-06-13
-
2021-06-20
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache, but that may be hormonalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
- 2021-08-15
-
2021-11-14
Survey response — 6 months, dose 2MedDRA: COVID-19, Office visit, Pneumonia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Covid and then pneumonia. · Healthcare visit (other): Blood tests, x-rays, in office clinic visitsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-16
- 2021-11-19
-
2021-11-22
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-22
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling · FeverFree text: Feverish during sleepMedDRA releases: 2024-11 · check-in free text available
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-12-01
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
- 2022-05-23
-
2022-10-07
Dose 4 — Moderna
-
2022-10-10
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Injection site pain — Feeling: Good · Site: Pain · HeadacheFree text: Yesterday and the previous day I had moderate injection site pain and fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-05-16 | Pfizer-BioNTech | |
| 3 | 2021-11-22 | Pfizer-BioNTech | Flu |
| 4 | 2022-10-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I am menstruating and the pain is likely related
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I had a sore arm the day of and 3 days after second shot. I had some fatigue two days after my second shot. I had very red cheeks the morning after my second shot. In comparison, I had more severe side effects with my first shot.
Release 9 — day 35, dose 2
Symptoms: Headache, but that may be hormonal
Release 10 — 6 months, dose 2
Symptoms: Covid and then pneumonia.
Healthcare visit (other): Blood tests, x-rays, in office clinic visits
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feverish during sleep
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday and the previous day I had moderate injection site pain and fatigue
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release