Y5E-31798-11799
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 144 / NY
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Registered in v-safe
-
2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-10
-
2021-03-16
Dose 2 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Pyrexia, Syncope — Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: fainted this morning as I got out of bed, then realized i needed to take fever reducer and now feel much better. I have a history of fainting when my fever goes higer than 100.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
-
2021-03-23
Survey response — day 7, dose 2MedDRA: Upper-airway cough syndrome — Feeling: GoodFree text: some post nasal drip but most likely due to pollen on the rise?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-15
- 2021-04-21
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2022-02-10
Dose 3 — Moderna
- 2022-03-16
- 2022-03-16
-
2022-03-17
Survey response — day 35, dose 3MedDRA: Injection site pain, Lymph node pain, Malaise, Nasopharyngitis — Feeling: GoodFree text: When feeling a little under the weather it run down my left arm has some pain at the vax site. This seems to accompany the general lymph tenderness of a small cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-24
-
2022-07-30
Dose 4 — Moderna
- 2022-08-04
- 2022-08-05
- 2022-08-06
- 2022-08-13
- 2022-08-20
- 2022-08-27
- 2022-09-03
- 2022-09-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-16 | Pfizer-BioNTech | |
| 3 | 2022-02-10 | Moderna | No |
| 4 | 2022-07-30 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): fainted this morning as I got out of bed, then realized i needed to take fever reducer and now feel much better. I have a history of fainting when my fever goes higer than 100.
Release 6 — day 7, dose 2
Systemic reaction (other): some post nasal drip but most likely due to pollen on the rise?
Release 11 — day 35, dose 3
Symptoms: When feeling a little under the weather it run down my left arm has some pain at the vax site. This seems to accompany the general lymph tenderness of a small cold.
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 | Injection site pain | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release