2N4-81144-77526
5 vaccinations
8 coded responses
54 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-26
Dose 1 — Pfizer-BioNTech
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2021-01-28
Registered in v-safe
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, Joint painsAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
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2021-02-16
Dose 2 — Pfizer-BioNTech
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 2MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-24
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2021-03-30
Survey response — day 42, dose 2MedDRA: Office visit, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Vertigo. Unsure at this time, per professionals, if due to BPPV. Please note, I experienced vertigo several days before my first COVID vaccine. · Healthcare visit (other): Vestibular Rehabilitation TherapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-18
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash right scapular areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-17
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2021-09-29
Dose 3 — Pfizer-BioNTech
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: These symptoms were actually felt 12-36 hours after the vaccine, which I received on 9/29/21. Im actually almost normal today. However, I assume you want to know of any vaccine reaction. So, you can note that the reaction was one day earlier.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
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2021-11-05
Survey response — day 35, dose 3MedDRA: Sensory disturbance, Unevaluable event, Vaccination site pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I never lost the sense of pain at the vaccination site. At times there is a slight pulling/painful feeling when I move my arm. I believe I have SIRVA (shoulder injury related to vaccine administration) and have reached out to my GP & orthopedist. · Healthcare visit (other): Presently expecting to hear back from doctors re: next move.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-08
- 2021-11-11
- 2021-11-11
- 2021-12-29
- 2022-03-30
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2022-04-26
Dose 4 — Moderna
- 2022-05-15
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-08
- 2022-07-26
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2022-10-04
Dose 5 — Pfizer-BioNTech
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2022-10-04
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-06
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
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2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-10
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-11
Health check-in — day 7, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2023-01-03
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2023-04-04
Survey response — 6 months, dose 5MedDRA: Faeces soft, Flatulence — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-04
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-05
- 2023-04-05
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lack of appetite
Release 4 — day 14, dose 2
Symptoms: Vertigo
Release 6 — day 42, dose 2
Symptoms: Vertigo. Unsure at this time, per professionals, if due to BPPV. Please note, I experienced vertigo several days before my first COVID vaccine.
Healthcare visit (other): Vestibular Rehabilitation Therapy
Release 8 — 3 months, dose 2
Symptoms: Rash right scapular area
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): These symptoms were actually felt 12-36 hours after the vaccine, which I received on 9/29/21. Im actually almost normal today. However, I assume you want to know of any vaccine reaction. So, you can note that the reaction was one day earlier.
Release 10 — day 35, dose 3
Symptoms: I never lost the sense of pain at the vaccination site. At times there is a slight pulling/painful feeling when I move my arm. I believe I have SIRVA (shoulder injury related to vaccine administration) and have reached out to my GP & orthopedist. cut off by CDC
Healthcare visit (other): Presently expecting to hear back from doctors re: next move.
Release 12 — day 0, dose 5
Systemic reaction (other): No
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 | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Faeces soft | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release