ZFB-24969-41106
5 vaccinations
8 coded responses
51 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-06
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, RednessFree text: I do feel emotionally moderately upset due to the mob events that happened at the US caputol in Washington DC yesterday 1/6/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-15
- 2021-01-21
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: Mild bruise (resolving) at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: Resolving bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: GoodFree text: Bruise at vaccine site with continued resolution.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-29
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Chills, Fatigue, Nausea, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Onset 3/31/22 of nausea, vomiting x 1, low grade fever, mild chills, fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-20
-
2022-07-07
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Gastrointestinal viral infection, Nausea, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a GI virus for a couple days...N/V/loose stool. Recovered completely. Rapid Covid Ag test on Day 5 after Sx start was Neg!MedDRA releases: 2024-11 · check-in free text available
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2022-09-12
Dose 5 — Moderna
- 2022-09-16
-
2022-09-17
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: None.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-11
- 2022-10-18
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): No
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I do feel emotionally moderately upset due to the mob events that happened at the US caputol in Washington DC yesterday 1/6/21.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Mild bruise (resolving) at injection site.
Systemic reaction (other): Resolving bruise at injection site
Systemic reaction (other): Bruise at vaccine site with continued resolution.
Release 11 — 6 months, dose 3
Symptoms: Onset 3/31/22 of nausea, vomiting x 1, low grade fever, mild chills, fatigue.
Release 12 — 3 months, dose 4
Symptoms: Had a GI virus for a couple days...N/V/loose stool. Recovered completely. Rapid Covid Ag test on Day 5 after Sx start was Neg!
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): None.
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 | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release