YA7-31088-37810
4 vaccinations
7 coded responses
35 check-ins
6 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Registered in v-safe
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-03-29
- 2021-04-06
- 2021-04-12
-
2021-04-14
Dose 2 — Pfizer-BioNTech
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Influenza like illness — Feeling: GoodFree text: The day after the shot I felt exactly like I had the flu. Symptoms lasted 36 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-10-15
Dose 3 — Pfizer-BioNTech
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-24
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2022-01-14
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever 100.2 (1/12, PM) Fever 99.8 (1/13, AM) Fever 99.2(1/13, PM) No fever (1/14 AM) No fever (1/14, PM) No respiratory symptoms. No sore throat. No loss of sense of smell. Headache (unusual for me) during these 2 days of elevated temp.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Dose 4 — Moderna
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Influenza like illness — Feeling: GoodFree text: Flu-like symptoms for about 24 hours after the vaccine I received on April 7,2022.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
-
2022-05-06
Survey response — day 28, dose 4MedDRA: Pre-existing disease — Feeling: FairFree text: Chronic cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Survey response — day 35, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: Chronic nonproductive cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Survey response — day 42, dose 4MedDRA: Cough — Feeling: GoodFree text: Persistent dry monproductive cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
- 2022-10-06
-
2023-04-07
Survey response — 12 months, dose 4MedDRA: Cough, Productive cough — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The day after the shot I felt exactly like I had the flu. Symptoms lasted 36 hours.
Release 10 — 3 months, dose 3
Symptoms: Fever 100.2 (1/12, PM) Fever 99.8 (1/13, AM) Fever 99.2(1/13, PM) No fever (1/14 AM) No fever (1/14, PM) No respiratory symptoms. No sore throat. No loss of sense of smell. Headache (unusual for me) during these 2 days of elevated temp.
Release 11 — day 7, dose 4
Systemic reaction (other): Flu-like symptoms for about 24 hours after the vaccine I received on April 7,2022.
Release 11 — day 28, dose 4
Symptoms: Chronic cough.
Release 11 — day 35, dose 4
Symptoms: Chronic nonproductive cough.
Release 11 — day 42, dose 4
Symptoms: Persistent dry monproductive cough.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release