YJ4-87381-24885
3 vaccinations
4 coded responses
16 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 928 / CA
- Registered
- 2021-11-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-29
Dose 2 — Pfizer-BioNTech
-
2021-11-16
Registered in v-safe
-
2021-11-16
Dose 3 — Pfizer-BioNTech
- 2021-11-16
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Just a slightly sore arm at the injection site!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-30
-
2021-12-09
Survey response — day 21, dose 3MedDRA: Insomnia, Nasal congestion — Feeling: FairFree text: I have a little bit of a stuffy nose today, but I think that's probably due to lack of sleep/kids than anything else.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
-
2021-12-21
Survey response — day 35, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sinus headache — Feeling: PoorFree text: I have a head cold, congestion and runny nose mostly. No fever, slight sinus headache, but have rested negative for COVID in a rapid test.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
-
2022-02-15
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: I had cold symptoms again over the last week. After a negative at home test, and the fact that the symptoms only lasted a couple of days, it seemed like it was just a common cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | No |
| 2 | 2021-04-29 | Pfizer-BioNTech | No |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just a slightly sore arm at the injection site!
Release 10 — day 21, dose 3
Symptoms: I have a little bit of a stuffy nose today, but I think that's probably due to lack of sleep/kids than anything else.
Release 10 — day 35, dose 3
Symptoms: I have a head cold, congestion and runny nose mostly. No fever, slight sinus headache, but have rested negative for COVID in a rapid test.
Release 11 — 3 months, dose 3
Symptoms: I had cold symptoms again over the last week. After a negative at home test, and the fact that the symptoms only lasted a couple of days, it seemed like it was just a common 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 | Insomnia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release