CCJ-31116-47428
3 vaccinations
5 coded responses
20 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 209 / MD
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- N/A
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
-
2021-04-03
Registered in v-safe
- 2021-04-03
- 2021-04-04
-
2021-04-05
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Itching · Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-12
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, NauseaFree text: Loose stoolsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog — Feeling: Poor · Site: Itching · Chills, Headache, Muscle or body aches, Nausea, DiarrheaFree text: Fogginess/cloudy headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-04-30
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-07
-
2021-05-15
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Persistent diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-28
- 2021-06-07
-
2021-07-24
Survey response — 3 months, dose 2MedDRA: Cardiac murmur — Feeling: GoodFree text: Heart murmurMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-01-06
Dose 3 — Moderna
-
2022-04-23
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2022-01-06 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Loose stools
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fogginess/cloudy head
Release 8 — day 21, dose 2
Symptoms: Persistent diarrhea
Release 9 — 3 months, dose 2
Symptoms: Heart murmur
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
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 | Cardiac murmur | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release