N6T-36027-40170
4 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 112 / NY
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Pfizer-BioNTech
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Sore arm onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-10-29
Dose 3 — Pfizer-BioNTech
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: GoodFree text: Tested positive for Covid 12/24/2021. AsymptomaticMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Dose 4 — Pfizer-BioNTech
-
2022-04-25
Survey response — day 0, dose 4MedDRA: Laboratory test abnormal — Feeling: Good · FeverFree text: Positive PCR test December 24, 2021 after my third dose. I was asymptomaticMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-04-28
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-06-01
-
2022-06-08
Survey response — day 42, dose 4MedDRA: Nasopharyngitis — Feeling: GoodFree text: Confirmed common cold, tested negative 05/31/2022MedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
- 2022-10-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-25 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm only
Release 11 — 12 months, dose 2
Symptoms: Tested positive for Covid 12/24/2021. Asymptomatic
Release 11 — day 0, dose 4
Systemic reaction (other): Positive PCR test December 24, 2021 after my third dose. I was asymptomatic
Release 11 — day 42, dose 4
Symptoms: Confirmed common cold, tested negative 05/31/2022
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 | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Laboratory test abnormal | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release