223-95585-75712
5 vaccinations
7 coded responses
28 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 043 / ME
- Registered
- 2021-07-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Pfizer-BioNTech
-
2021-05-06
Dose 2 — Pfizer-BioNTech
-
2021-07-05
Registered in v-safe
- 2021-08-05
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: Fatigue, Influenza like illness, Pyrexia, SARS-CoV-2 test, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Had flu like symptoms in September that lasted for about 5 days. This included extreme exhaustion and vertigo and low grade fever. · Healthcare visit (other): Took Covid test at mobile locationMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-10
-
2021-11-15
Dose 3 — Pfizer-BioNTech
-
2021-11-15
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Confusional state — Feeling: Fair · Fever · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: ConfusionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-19
-
2021-11-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-12-01
-
2021-12-06
Survey response — day 21, dose 3MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head ache and exhaustionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-20
-
2021-12-29
Survey response — day 42, dose 3MedDRA: Fatigue, Headache, Pyrexia, Sinus congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Low grade fever, headache and sinus congestion and fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-02-14
-
2022-05-15
Dose 4 — Pfizer-BioNTech
-
2022-05-18
Survey response — 6 months, dose 3MedDRA: Pre-existing disease, Sinus disorder — Feeling: FairFree text: Allergy related sinus issuesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-29
-
2022-06-05
Survey response — day 21, dose 4MedDRA: Asthma, Lacrimation increased, Nasal congestion, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Not related to Covid, allergy related symptoms : stuffy nose, eyes running and asthma acting upMedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
- 2022-06-19
- 2022-06-26
- 2022-08-14
-
2022-09-29
Dose 5 — Pfizer-BioNTech
-
2022-11-13
Survey response — 6 months, dose 4MedDRA: Asthma, Sinusitis — Feeling: Fair · Be unable to work or attend schoolFree text: Sinus infection and asthma related issuesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | No |
| 2 | 2021-05-06 | Pfizer-BioNTech | No |
| 3 | 2021-11-15 | Pfizer-BioNTech | No |
| 4 | 2022-05-15 | Pfizer-BioNTech | No |
| 5 | 2022-09-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — 6 months, dose 2
Symptoms: Had flu like symptoms in September that lasted for about 5 days. This included extreme exhaustion and vertigo and low grade fever.
Healthcare visit (other): Took Covid test at mobile location
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Confusion
Release 10 — day 21, dose 3
Symptoms: Head ache and exhaustion
Release 10 — day 42, dose 3
Symptoms: Low grade fever, headache and sinus congestion and fatigue
Release 11 — 6 months, dose 3
Symptoms: Allergy related sinus issues
Release 11 — day 21, dose 4
Symptoms: Not related to Covid, allergy related symptoms : stuffy nose, eyes running and asthma acting up
Release 12 — 6 months, dose 4
Symptoms: Sinus infection and asthma related issues
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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release