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Z9C-11300-37128

4 vaccinations 10 coded responses 50 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
028 / RI
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Registered in v-safe
  2. 2021-02-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-03-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-17
    Dose 2 — Pfizer-BioNTech
  14. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature fluctuation, Feeling of body temperature change, Hypersomnia, Pyrexia — Feeling: Good · Fever · Headache, Fatigue or tiredness
    Free text: Felt temp fluctuations (hot, cold) all day and slept a lot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Ocular discomfort — Feeling: Good · Fatigue or tiredness
    Free text: Visual disturbance and mild left headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: 1/2 hour sauna helped me feel better today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Visual impairment — Feeling: Good · Headache
    Free text: Left eye visual disturbance continues. Infrared sauna helped headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-30
    Survey response — day 42, dose 2
    MedDRA: Migraine, Visual impairment — Feeling: Good · Be unable to do your normal daily activities
    Free text: Migraine with visual defects lasted 3 days. Had to stay in bed with eye mask and ear plugs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-23
    Dose 3 — Pfizer-BioNTech
  28. 2021-08-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Bone pain, Feeling cold, Hypersomnia, Pyrexia — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I was feverish, felt cold, had bone aches, and slept a lot on days 2 & 3. Today, day 4, I feel a lot better. I'm answering these questions to record symptoms from days 2 & 3.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-08-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-08-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort, Rhinorrhoea — Feeling: Good · Fatigue or tiredness
    Free text: runny nose, chest feels kind of heavy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  31. 2021-08-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-08-30
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-09-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-09-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-09-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-09-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-10-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-02
    Dose 4 — Moderna
  41. 2022-04-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Somnolence — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: So sleepy all day. Keep napping.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Hypersomnia — Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness
    Free text: Slept 22 hours yesterday; feel much better today
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-05
    Survey response — days 1–6 daily, dose 4
    MedDRA: Somnolence — Feeling: Good · Joint pains
    Free text: Much better. Less sleepy!
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-04-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-04-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  47. 2022-04-09
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-04-16
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-04-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-04-30
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-04-02
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Pfizer-BioNTech
22021-03-17Pfizer-BioNTech
32021-08-23Pfizer-BioNTech No
42022-04-02Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Felt temp fluctuations (hot, cold) all day and slept a lot

2021-03-19

Systemic reaction (other): Visual disturbance and mild left headache

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): 1/2 hour sauna helped me feel better today

2021-03-21

Systemic reaction (other): Left eye visual disturbance continues. Infrared sauna helped headache.

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Migraine with visual defects lasted 3 days. Had to stay in bed with eye mask and ear plugs.

Release 9 — days 1–6 daily, dose 3

2021-08-26

Systemic reaction (other): I was feverish, felt cold, had bone aches, and slept a lot on days 2 & 3. Today, day 4, I feel a lot better. I'm answering these questions to record symptoms from days 2 & 3.

2021-08-28

Systemic reaction (other): runny nose, chest feels kind of heavy

Release 11 — days 1–6 daily, dose 4

2022-04-03

Systemic reaction (other): So sleepy all day. Keep napping.

2022-04-04

Systemic reaction (other): Slept 22 hours yesterday; feel much better today

2022-04-05

Systemic reaction (other): Much better. Less sleepy!

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

FieldPreferred term2021-092023-042024-11
SDMigraine ✓ ✓ ✓
SDVisual impairment ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROBody temperature fluctuation ✓ · ✓
SROBone pain ✓ · ✓
SROChest discomfort ✓ · ✓
SROFeeling cold ✓ · ✓
SROFeeling of body temperature change ✓ · ✓
SROHeadache ✓ ✓ ✓
SROHypersomnia ✓ · ✓
SROOcular discomfort ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinorrhoea ✓ · ✓
SROSomnolence · · ✓
SROVisual impairment ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release