S75-10969-63626
3 vaccinations
7 coded responses
27 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 088 / NJ
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
44S-28538-22009
Child or adolescent in my care · Female · 2022-04-25
8KQ-31056-42064
Adult relative or friend · Female · 2022-04-25
Timeline
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2021-03-19
Registered in v-safe
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2021-03-19
Dose 1 — Pfizer-BioNTech
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2021-03-19
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Diarrhea, Abdominal painAdult check-in
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: Cough and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tirednessFree text: Cough and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Respiratory tract congestion — Feeling: Good · HeadacheFree text: Cough and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 7, dose 1MedDRA: Respiratory tract congestion — Feeling: GoodFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-09
Dose 2 — Pfizer-BioNTech
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
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2021-04-30
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Cough, Respiratory tract congestion — Feeling: Good · Be unable to workFree text: Coughing, congestion, stomach painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-07-11
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Headache, Rhinorrhoea — Feeling: GoodFree text: Headache and runny nose most likely from a daycare cold.MedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Dose 3 — Moderna
- 2022-04-09
- 2022-06-28
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2022-12-28
Survey response — 12 months, dose 3MedDRA: Respiratory disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Upper respiratory issues likely from the Christmas treeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech | |
| 3 | 2021-12-28 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Cough and congestion
Systemic reaction (other): Cough and congestion
Systemic reaction (other): Cough and congestion
Release 6 — day 7, dose 1
Systemic reaction (other): Congestion
Release 8 — day 21, dose 2
Symptoms: Coughing, congestion, stomach pains
Release 10 — 6 months, dose 2
Symptoms: Headache and runny nose most likely from a daycare cold.
Release 12 — 12 months, dose 3
Symptoms: Upper respiratory issues likely from the Christmas tree
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release