C3A-30504-76111
4 vaccinations
5 coded responses
42 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 604 / IL
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site coldness, Injection site warmth — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: I felt cool sensations around injection site on day 1 that came and went several times and day 2 I felt random warm sensations early in the day around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Palpitations — Feeling: Good · Fatigue or tirednessFree text: Had short lasting heart palpitations last night on day 2. Also heart rate jumped up more than normal when climbing stairs yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-25
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Pfizer-BioNTech
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-11-24
Dose 3 — ModernaCo-administered: Flu
- 2021-11-24
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feeling weak with normal activityMedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
-
2022-01-05
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-02-23
- 2022-05-25
-
2022-10-06
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-12
- 2022-11-18
-
2023-01-05
Survey response — 3 months, dose 4MedDRA: Cough, Influenza, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Moderna | Flu |
| 4 | 2022-10-06 | Pfizer-BioNTech | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I felt cool sensations around injection site on day 1 that came and went several times and day 2 I felt random warm sensations early in the day around injection site
Systemic reaction (other): Had short lasting heart palpitations last night on day 2. Also heart rate jumped up more than normal when climbing stairs yesterday.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feeling weak with normal activity
Release 10 — day 42, dose 3
Symptoms: Sore throat, runny nose
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 | Cough | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site coldness | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release