25E-10796-34458
6 vaccinations
12 coded responses
58 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 622 / IL
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams — Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessFree text: Crazy dreams. Deep sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-26
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Pfizer-BioNTech
- 2021-02-10
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Muscle or body achesAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-05-12
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Injection site pain, Pain in extremity — Feeling: GoodFree text: Sore arms from time to time. Headache and tired. As if Im getting ill , but dont. It may be just allergies. However, the upper arm muscles has me curious. No loss of taste or smell. Just sore arm muscles where the shots were administered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-11
-
2021-10-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-02
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Sore armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Aches that pop up and then go away fast. All night. Today goneMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Mainly tiredMedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-08
-
2021-10-09
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Survey response — day 14, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: The nodules in my neck (lymph)nodes are still largeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Survey response — day 21, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph nodes still very swollenMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-11-06
- 2021-11-13
-
2022-01-01
Survey response — 3 months, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Fish allergyMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Survey response — 6 months, dose 3MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fish alergyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-13
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
-
2022-04-15
Callback requested for11:30AM ET
- 2022-04-16
- 2022-04-23
- 2022-05-01
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-07-09
-
2022-09-15
Dose 5 — Other-UnknownCo-administered: Flu
-
2022-10-06
Dose 6 — Other-UnknownCo-administered: Flu
- 2022-10-06
-
2022-10-07
Survey response — days 1–6 daily, dose 6MedDRA: Food allergy — Feeling: GoodFree text: New allergy to walnutsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-05
- 2022-11-15
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
| 5 | 2022-09-15 | Other-Unknown | Flu |
| 6 | 2022-10-06 | Other-Unknown | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Crazy dreams. Deep sleep
Release 8 — 3 months, dose 2
Symptoms: Sore arms from time to time. Headache and tired. As if Im getting ill , but dont. It may be just allergies. However, the upper arm muscles has me curious. No loss of taste or smell. Just sore arm muscles where the shots were administered.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Sore arm
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Aches that pop up and then go away fast. All night. Today gone
Systemic reaction (other): Mainly tired
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen lymph nodes
Release 10 — day 14, dose 3
Symptoms: The nodules in my neck (lymph)nodes are still large
Release 10 — day 21, dose 3
Symptoms: Lymph nodes still very swollen
Release 10 — 3 months, dose 3
Symptoms: Fish allergy
Release 11 — 6 months, dose 3
Symptoms: Fish alergy
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): New allergy to walnuts
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Food allergy | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release