V8M-14159-77749
4 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 222 / VA
- Registered
- 2021-11-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Pfizer-BioNTech
-
2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-10-23
Dose 3 — Pfizer-BioNTech
-
2021-11-03
Registered in v-safe
-
2021-11-03
Survey response — day 7, dose 3MedDRA: Injection site erythema, Injection site swelling, Pain in extremity — Feeling: GoodFree text: For 2 days after I had sore arm, small red bump at siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
-
2021-12-04
Survey response — day 42, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Caught a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-01-22
- 2022-04-23
-
2022-09-07
Dose 4 — Moderna
-
2022-09-07
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-09-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-16
- 2022-09-21
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2022-09-28
Survey response — day 21, dose 4MedDRA: Cough, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain, Sinus pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Massive head cold (nasal congestion, sinus pain, aches, headaches, sore throat, cough)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-12
-
2022-10-19
Survey response — day 42, dose 4MedDRA: Abdominal pain upper, Diarrhoea, Food poisoning, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: seemingly food poisoning night of 10/17, stomach ache diarrhea and vomiting. Fever (101.4) 10/18. Better on 10/19.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | No |
| 2 | 2021-04-23 | Pfizer-BioNTech | No |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
| 4 | 2022-09-07 | Moderna | No |
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): For 2 days after I had sore arm, small red bump at site
Release 10 — day 42, dose 3
Symptoms: Caught a cold
Release 12 — day 21, dose 4
Symptoms: Massive head cold (nasal congestion, sinus pain, aches, headaches, sore throat, cough)
Release 12 — day 42, dose 4
Symptoms: seemingly food poisoning night of 10/17, stomach ache diarrhea and vomiting. Fever (101.4) 10/18. Better on 10/19.
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 | Diarrhoea | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release