6VJ-17178-05600
5 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 850 / AZ
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Pfizer-BioNTech
-
2021-04-03
Dose 2 — Pfizer-BioNTech
-
2021-11-12
Dose 3 — Pfizer-BioNTech
-
2022-05-13
Dose 4 — Pfizer-BioNTech
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
-
2022-05-20
Survey response — day 7, dose 4MedDRA: Headache, Pre-existing disease — Feeling: GoodFree text: Mild headache allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
-
2022-06-03
Survey response — day 21, dose 4MedDRA: Injection site pruritus — Feeling: GoodFree text: Injection site was a little itchy but didn't last longMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
-
2022-06-17
Survey response — day 35, dose 4MedDRA: Headache, Pre-existing disease — Feeling: FairFree text: Allergies are terrible headache it's monsoon season & we've had wind almost daily I'm fine if I stay inside I'm masking up when shopping & limiting time out in publicMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
-
2022-08-12
Survey response — 3 months, dose 4MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Monsoon season here allergies mild asthma symptoms not related to vaccination I'm still masking staying homeMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-24
- 2022-09-25
-
2022-09-26
Survey response — days 1–6 daily, dose 5MedDRA: Pre-existing disease — Feeling: FairFree text: It's windy my allergies are bothering meMedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Poor quality sleep — Feeling: Good · Fatigue or tirednessFree text: Didn't sleep well husband out of town never sleep well first nightMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | No |
| 2 | 2021-04-03 | Pfizer-BioNTech | No |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | Flu |
Free text
Release 11 — day 7, dose 4
Systemic reaction (other): Mild headache allergies
Release 11 — day 21, dose 4
Symptoms: Injection site was a little itchy but didn't last long
Release 12 — day 35, dose 4
Symptoms: Allergies are terrible headache it's monsoon season & we've had wind almost daily I'm fine if I stay inside I'm masking up when shopping & limiting time out in public
Release 12 — 3 months, dose 4
Symptoms: Monsoon season here allergies mild asthma symptoms not related to vaccination I'm still masking staying home
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): It's windy my allergies are bothering me
Systemic reaction (other): Didn't sleep well husband out of town never sleep well first night
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 | Asthma | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release