6PN-30265-14071
5 vaccinations
8 coded responses
52 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 140 / NY
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Pfizer-BioNTech
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-27
- 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
-
2022-05-05
Dose 4 — Pfizer-BioNTech
-
2022-05-05
Survey response — day 0, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: Just got it this morning. Usually get sore arm next day.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Sleep disorder — Feeling: Good · Site: Pain, SwellingFree text: Extremely sore first night interfering with sleepMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
-
2022-05-14
Survey response — day 7, dose 4MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: GoodFree text: My son, DIL and possibly my 12 week old granddaughter have Covid. The adults are vaccinated and boostered. I was exposed to them for long periods of time before they tested positive. I started testing Wed and still testing negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
-
2022-08-04
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Just stuffiness and slight coldMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Dose 5 — Pfizer-BioNTech
-
2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Pain — Feeling: Good · Site: PainFree text: Have aches today but not sure if attributed to vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia — Feeling: Good · Site: PainFree text: Joint pain but not sure from shotMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just tenderness at injection site. Not really painMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
-
2022-11-28
Survey response — day 35, dose 5MedDRA: Influenza, Pyrexia, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Believe I had 24 her stomach flu. Vomiting and fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
- 2023-01-23
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-05-05 | Pfizer-BioNTech | No |
| 5 | 2022-10-24 | Pfizer-BioNTech | No |
Free text
Release 11 — day 0, dose 4
Systemic reaction (other): Just got it this morning. Usually get sore arm next day.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Extremely sore first night interfering with sleep
Release 11 — day 7, dose 4
Systemic reaction (other): My son, DIL and possibly my 12 week old granddaughter have Covid. The adults are vaccinated and boostered. I was exposed to them for long periods of time before they tested positive. I started testing Wed and still testing negative.
Release 12 — 3 months, dose 4
Symptoms: Just stuffiness and slight cold
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Have aches today but not sure if attributed to vaccine.
Systemic reaction (other): Joint pain but not sure from shot
Systemic reaction (other): Just tenderness at injection site. Not really pain
Release 12 — day 35, dose 5
Symptoms: Believe I had 24 her stomach flu. Vomiting and fever.
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 | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release