Z6B-26449-56857
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 775 / TX
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-02
Registered in v-safe
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-26
- 2021-03-27
- 2021-03-28
-
2021-09-21
Survey response — 6 months, dose 2MedDRA: Arthralgia, Dizziness, Injection site pain, Pain in extremity — Feeling: GoodFree text: Had a brief period of dizzy spells. Arm that was injected gave me problems , soreness, aching from shoulder area to injection area off and on for a long period of time. All is ok now.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Dose 3 — Pfizer-BioNTech
-
2022-03-24
Survey response — 12 months, dose 2MedDRA: Pre-existing disease, Sinus disorder — Feeling: GoodFree text: Sinus AllergiesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Dose 4 — Pfizer-BioNTech
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: Swollen and sore lymph nodes in neck and under arm , for arm receiving injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
-
2022-05-03
Survey response — day 14, dose 4MedDRA: Rash, Self-medication — Feeling: GoodFree text: A rash that actually started about 4 or 5 days after injection. I thought it was insect bites, but as it spread to sopts on other arm I realized it was a reaction to booster. I began on zyrtec and rash began to stop and clear up. I did not tell drMedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Survey response — day 21, dose 4MedDRA: Erythema, Rash — Feeling: GoodFree text: Light skin rash (red spots) slow to disappear, but remain mildMedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-24
- 2022-06-02
- 2022-07-19
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
Free text
Release 9 — 6 months, dose 2
Symptoms: Had a brief period of dizzy spells. Arm that was injected gave me problems , soreness, aching from shoulder area to injection area off and on for a long period of time. All is ok now.
Release 11 — 12 months, dose 2
Symptoms: Sinus Allergies
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen and sore lymph nodes in neck and under arm , for arm receiving injection.
Release 11 — day 14, dose 4
Symptoms: A rash that actually started about 4 or 5 days after injection. I thought it was insect bites, but as it spread to sopts on other arm I realized it was a reaction to booster. I began on zyrtec and rash began to stop and clear up. I did not tell dr cut off by CDC
Release 11 — day 21, dose 4
Symptoms: Light skin rash (red spots) slow to disappear, but remain mild
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 | Arthralgia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release