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6JW-14765-76342

6 vaccinations 6 coded responses 45 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
947 / CA
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-17
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  15. 2021-03-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache
    Adult check-in
  17. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · None
    Adult check-in
  18. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever
    Free text: It is warm at the site of the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever
    Free text: Still warm at site of injection but much smaller spot on my shoulder. Pain only if I push on it and even then very mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site warmth — Feeling: Good
    Free text: There is a small spot at the injection site that is slight warmer than my arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Redness
    Free text: A small spot of red and warmth at site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-04-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-10-21
    Dose 3 — Pfizer-BioNTech
  31. 2022-03-04
    Dose 4 — Moderna
  32. 2022-03-24
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  33. 2022-03-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-03-25
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-04-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-04-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-04-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-06-03
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-07-21
    Dose 5 — Moderna
  40. 2022-10-13
    Dose 6 — Moderna
  41. 2022-10-14
    Survey response — days 1–6 daily, dose 6
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain
    Free text: It's warm at the injection site
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-10-15
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · Site: Pain · None
    Adult check-in
  43. 2022-10-16
    Survey response — days 1–6 daily, dose 6
    MedDRA: Adverse reaction — Feeling: Good · Diarrhea
    Free text: Not a lot but some. I can't be sure it wasn't what I ate but I don't think it was what I ate.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-10-17
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  45. 2022-10-18
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  46. 2022-10-19
    Health check-in — days 1–6 daily, dose 6
    Feeling: Good · None
    Adult check-in
  47. 2022-10-20
    Health check-in — day 7, dose 6
    Feeling: Good · None
    Adult check-in
  48. 2022-10-27
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  49. 2022-11-10
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  50. 2022-11-17
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  51. 2022-11-24
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in
  52. 2023-01-12
    Health check-in — 3 months, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Pfizer-BioNTech
22021-03-24Pfizer-BioNTech
32021-10-21Pfizer-BioNTech No
42022-03-04Moderna No
52022-07-21Moderna No
62022-10-13Moderna No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): It is warm at the site of the injection

2021-03-28

Systemic reaction (other): Still warm at site of injection but much smaller spot on my shoulder. Pain only if I push on it and even then very mild.

2021-03-29

Systemic reaction (other): There is a small spot at the injection site that is slight warmer than my arm.

2021-03-30

Systemic reaction (other): A small spot of red and warmth at site of injection

Release 12 — days 1–6 daily, dose 6

2022-10-14

Systemic reaction (other): It's warm at the injection site

2022-10-16

Systemic reaction (other): Not a lot but some. I can't be sure it wasn't what I ate but I don't think it was what I ate.

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction · · ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release