6W4-14068-83845
3 vaccinations
5 coded responses
14 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 937 / CA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-02-11
Dose 2 — Pfizer-BioNTech
-
2021-12-07
Dose 3 — Moderna
- 2021-12-07
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Just started experiencing these symptoms around noon. StArtrd out mild but progressing a bit so that I need to lie down.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: GoodFree text: Mild swelling snd pain in axillary area on the side of the injection site.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort — Feeling: GoodFree text: A little discomfort in axillary area.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Abdominal painAdult check-in
- 2021-12-12
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — day 21, dose 3MedDRA: Exercise tolerance decreased, Fatigue, Hypertension — Feeling: FairFree text: More easily fatigued with exercise. 3 weeks after my second CoVid vaccination I experienced extreme fatigue and inability to engage in aerobic exercise which lasted 3-4 mo. along with hypertension. Am concerned this will occur with this booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-05
Survey response — day 28, dose 3MedDRA: Cellulitis, Joint swelling — Feeling: FairFree text: Unrelated to CoVid vac - had what I thought was a mosquito bite on my knee - within 6 hours experienced extreme swelling that subsequently developed into cellulitis. Currently on antibiotics.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
- 2022-01-18
- 2022-03-08
- 2022-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | No |
| 2 | 2021-02-11 | Pfizer-BioNTech | No |
| 3 | 2021-12-07 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just started experiencing these symptoms around noon. StArtrd out mild but progressing a bit so that I need to lie down.
Systemic reaction (other): Mild swelling snd pain in axillary area on the side of the injection site.
Systemic reaction (other): A little discomfort in axillary area.
Release 10 — day 21, dose 3
Symptoms: More easily fatigued with exercise. 3 weeks after my second CoVid vaccination I experienced extreme fatigue and inability to engage in aerobic exercise which lasted 3-4 mo. along with hypertension. Am concerned this will occur with this booster.
Release 10 — day 28, dose 3
Symptoms: Unrelated to CoVid vac - had what I thought was a mosquito bite on my knee - within 6 hours experienced extreme swelling that subsequently developed into cellulitis. Currently on antibiotics.
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 | Cellulitis | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release