ZB5-13104-97829
4 vaccinations
2 coded responses
32 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 079 / NJ
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Pfizer-BioNTech
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-10
Survey response — day 14, dose 1MedDRA: Headache, Myalgia, Nausea, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever 102. Headache. Muscle aches. Also some nausea and vomiting. Start on day 9 for 3 days and some lingering headache Negative nasal swab for Covid on day 11.No known exposure to Pathogens Husband who lives with me not affected nor othersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Dose 2 — Pfizer-BioNTech
- 2021-04-19
- 2021-04-20
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Hyperaesthesia teeth, Myalgia, Nausea, Neuropathy peripheral, Pyrexia, Temperature intolerance, Vomiting — Feeling: GoodFree text: My teeth are more sensitive to hot and cold. This seem to occur suddenly about D 12 after my first dose. On day nine through 11 I had symptoms perhaps unrelated: headache fever muscle ache nausea vomiting. When that ended I noticed The sensitivity to hot and coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-19
-
2021-11-03
Dose 3 — Pfizer-BioNTech
- 2022-04-19
-
2022-05-09
Dose 4 — Moderna
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-11-03 | Pfizer-BioNTech | No |
| 4 | 2022-05-09 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Fever 102. Headache. Muscle aches. Also some nausea and vomiting. Start on day 9 for 3 days and some lingering headache Negative nasal swab for Covid on day 11.No known exposure to Pathogens Husband who lives with me not affected nor others
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My teeth are more sensitive to hot and cold. This seem to occur suddenly about D 12 after my first dose. On day nine through 11 I had symptoms perhaps unrelated: headache fever muscle ache nausea vomiting. When that ended I noticed The sensitivity to hot and 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 | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ○ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Temperature intolerance | · | · | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release