Y5J-16717-71175
5 vaccinations
9 coded responses
69 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 800 / CO
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Pfizer-BioNTech
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Pfizer-BioNTech
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling · NauseaFree text: This morning for a short period of timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Swelling, Itching · HeadacheFree text: All symptoms mild,; come and go; pain in arm worse atnight: managed with Ad ilMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache was during the night; gone this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-11-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-05-03
Dose 4 — Pfizer-BioNTech
- 2022-05-03
- 2022-05-03
-
2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Sleep disorder — Feeling: Good · Site: Pain · NauseaFree text: Pain interfered with sleepMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-15
-
2022-08-02
Survey response — 3 months, dose 4MedDRA: Hypersensitivity, Lip swelling, Oral pain — Feeling: GoodFree text: Swollen lips and sore mouth. Presuming it's an allergic response to something I've eaten.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — 6 months, dose 4MedDRA: Adverse food reaction, Office visit — Feeling: GoodFree text: Negative reaction to tree nuts and raspberries. Am seeing an allergist.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-06
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-06
- 2022-12-07
- 2022-12-08
-
2022-12-09
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: GoodFree text: A little soreness on my arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2022-12-11
-
2022-12-12
Survey response — days 1–6 daily, dose 5MedDRA: Myalgia — Feeling: Good · Site: Pain, Itching · Muscle or body achesFree text: Muscle achesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
- 2022-12-20
-
2022-12-27
Survey response — day 21, dose 5MedDRA: Lacrimation increased, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: GoodFree text: Sneezing, runny nose and eyes--- head cold; negative home test for covid---no fever. Came on yesterday-- significantly better todayMedDRA releases: 2024-11 · check-in free text available
- 2023-01-03
- 2023-01-10
- 2023-01-17
- 2023-03-07
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-11-02 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-03 | Pfizer-BioNTech | No |
| 5 | 2022-12-06 | Pfizer-BioNTech | Flu |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): This morning for a short period of time
Systemic reaction (other): All symptoms mild,; come and go; pain in arm worse atnight: managed with Ad il
Systemic reaction (other): Headache was during the night; gone this morning
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Pain interfered with sleep
Release 12 — 3 months, dose 4
Symptoms: Swollen lips and sore mouth. Presuming it's an allergic response to something I've eaten.
Release 12 — 6 months, dose 4
Symptoms: Negative reaction to tree nuts and raspberries. Am seeing an allergist.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): A little soreness on my arm.
Systemic reaction (other): Muscle aches
Release 12 — day 21, dose 5
Symptoms: Sneezing, runny nose and eyes--- head cold; negative home test for covid---no fever. Came on yesterday-- significantly better today
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 | Adverse food reaction | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Lip swelling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release