6K5-19868-53877
6 vaccinations
11 coded responses
79 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Hordeolum — Feeling: GoodFree text: StyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-02-23
Dose 2 — Pfizer-BioNTech
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Very mild tenderness in the axilla area under the arm where I received the vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: GoodFree text: Very mild tenderness in axilla of arm that received vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: GoodFree text: Very mild tenderness axilla of vaccinated armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Injection site pain — Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessFree text: Slight soreness at injection site and in the underarm of the arm where I received the shotMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain — Feeling: Good · Fatigue or tirednessFree text: Slight soreness under arm where shot was givenMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Abnormal dreams — Feeling: GoodFree text: Very vivid dreams every night since I had the booster (3 nights straight)MedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-10-19
Survey response — 6 months, dose 4MedDRA: Headache, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Mild cold symptoms, headache, and low grade fever---tested positive for Covid 19 on 9/7/22 on an at-home antigen testMedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Dose 5 — Moderna
- 2022-11-08
-
2022-11-09
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Injection site pain — Feeling: GoodFree text: Very mild headache and soreness in the arm where I received the vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-11-10
Survey response — days 1–6 daily, dose 5MedDRA: Axillary pain, Injection site pain — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Mild soreness on arm that received vaccine, both near injection site and underarm areaMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · None · Be unable to work or attend schoolAdult check-in
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2022-12-13
- 2022-12-20
- 2023-02-07
-
2023-04-13
Dose 6 — Moderna
- 2023-04-13
-
2023-04-14
Survey response — days 1–6 daily, dose 6MedDRA: Tenderness — Feeling: Good · Site: Redness · HeadacheMedDRA releases: 2024-11
- 2023-04-17
- 2023-04-18
- 2023-04-19
- 2023-04-20
- 2023-04-27
- 2023-05-04
- 2023-05-11
- 2023-05-18
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-11-08 | Moderna | No |
| 6 | 2023-04-13 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sty
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Very mild tenderness in the axilla area under the arm where I received the vaccine
Systemic reaction (other): Very mild tenderness in axilla of arm that received vaccine
Systemic reaction (other): Very mild tenderness axilla of vaccinated arm
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Slight soreness at injection site and in the underarm of the arm where I received the shot
Systemic reaction (other): Slight soreness under arm where shot was given
Systemic reaction (other): Very vivid dreams every night since I had the booster (3 nights straight)
Release 12 — 6 months, dose 4
Symptoms: Mild cold symptoms, headache, and low grade fever---tested positive for Covid 19 on 9/7/22 on an at-home antigen test
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Very mild headache and soreness in the arm where I received the vaccine
Systemic reaction (other): Mild soreness on arm that received vaccine, both near injection site and underarm area
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Abnormal dreams | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hordeolum | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release