9VX-30018-14011
4 vaccinations
6 coded responses
17 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 762 / TX
- Registered
- 2021-10-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4FL-19555-34900
Adult relative or friend · Male · 2021-10-24
Timeline
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2021-03-09
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Dose 2 — Pfizer-BioNTech
-
2021-10-23
Dose 3 — Pfizer-BioNTech
-
2021-10-24
Registered in v-safe
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Nasal congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough and stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Cough, lymph node under arm that had shot swollen and painful.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Good · Site: Pain · Abdominal painFree text: Slight dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-27
- 2022-01-22
- 2022-04-25
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2022-06-17
Dose 4 — Pfizer-BioNTech
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2022-06-18
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2022-06-24
Survey response — day 7, dose 4MedDRA: Cough — Feeling: GoodFree text: Slight coughMedDRA releases: 2024-11 · check-in free text available
- 2022-07-17
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2022-07-24
Survey response — day 35, dose 4MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdMedDRA releases: 2024-11 · check-in free text available
- 2022-07-29
- 2022-12-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | No |
| 2 | 2021-03-30 | Pfizer-BioNTech | No |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
| 4 | 2022-06-17 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough and stuffy nose
Systemic reaction (other): Cough, lymph node under arm that had shot swollen and painful.
Systemic reaction (other): Slight dizziness
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Cough
Release 12 — day 7, dose 4
Systemic reaction (other): Slight cough
Release 12 — day 35, dose 4
Symptoms: Cold
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release