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2R3-12743-36310

5 vaccinations 12 coded responses 67 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
955 / CA
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-28
    Survey response — day 0, dose 1
    MedDRA: Aura, Hallucination, olfactory, Immediate post-injection reaction, Pre-existing disease, Self-medication — Feeling: Good · Headache
    Free text: About an hour after shot developed visual aura and olfactory hallucinations, both are my normal precursors to a migraine. I took 2 Excedrin immediately (my normal treatment for migraine)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Migraine, Sensitivity to weather change — Feeling: Poor · Headache, Joint pains · Be unable to work, Be unable to do your normal daily activities
    Free text: Note: headache is a migraine, most likely weather related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  11. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  12. 2021-01-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-18
    Dose 2 — Pfizer-BioNTech
  14. 2021-01-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-01-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Shakes, muscle spasms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-01-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-08
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very fatigued. Extra naps, extra sleep but barely able to keep my eyes open through my shift. A huge effort to take care of day to day stuff. Started last Monday and continues. No other symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-02-15
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-02-22
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-03-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-03
    Dose 3 — Moderna
  30. 2021-12-03
    Survey response — day 0, dose 3
    MedDRA: Flushing — Feeling: Good · Fever · Headache, Fatigue or tiredness
    Free text: Feel flushed, face looks flushed. A febrile when checked prior to shot
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains
    Adult check-in
  33. 2021-12-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Swollen lymph nodes in armpit on injection side
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Swollen lymph nodes on shot side under arm
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Swollen lymph nodes arm out of shot side
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling · Headache, Joint pains
    Free text: Lymph nodes under arm on shot side still swollen
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-10
    Survey response — day 7, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness
    Free text: Lymph node under arm shot side still swollen but not as much
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-14
    Dose 4 — Moderna
  45. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  46. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  47. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  48. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness · Joint pains
    Adult check-in
  49. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness · Joint pains, Fatigue or tiredness
    Adult check-in
  50. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache, Joint pains
    Adult check-in
  51. 2022-04-21
    Health check-in — day 7, dose 4
    Feeling: Good · Joint pains
    Adult check-in
  52. 2022-04-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-05-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-05-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-07-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-10-13
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Office visit — 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 professional
    Free text: Symptoms: Covid 19 · Healthcare visit (other): Employee health clinic
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-10-13
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  60. 2022-10-14
  61. 2022-10-14
    Call successful
    Not applicable - Accidental Reporting
  62. 2022-12-29
    Dose 5 — Pfizer-BioNTech
  63. 2022-12-29
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  64. 2022-12-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  65. 2022-12-31
    Survey response — days 1–6 daily, dose 5
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school
    Free text: Swollen lymph nodes underarm on shot side
    MedDRA releases: 2024-11 · check-in free text available
  66. 2023-01-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  67. 2023-01-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  68. 2023-01-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  69. 2023-01-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  70. 2023-01-05
    Health check-in — day 7, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  71. 2023-01-12
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  72. 2023-01-19
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  73. 2023-01-26
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  74. 2023-02-02
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  75. 2023-02-09
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  76. 2023-03-30
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  77. 2023-06-29
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Pfizer-BioNTech
22021-01-18Pfizer-BioNTech
32021-12-03Moderna No
42022-04-14Moderna No
52022-12-29Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): About an hour after shot developed visual aura and olfactory hallucinations, both are my normal precursors to a migraine. I took 2 Excedrin immediately (my normal treatment for migraine)

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Note: headache is a migraine, most likely weather related

Release 2 — days 1–6 daily, dose 2

2021-01-19

Systemic reaction (other): Shakes, muscle spasms

Release 3 — day 21, dose 2

2021-02-08

Symptoms: Very fatigued. Extra naps, extra sleep but barely able to keep my eyes open through my shift. A huge effort to take care of day to day stuff. Started last Monday and continues. No other symptoms

Release 10 — day 0, dose 3

2021-12-03

Systemic reaction (other): Feel flushed, face looks flushed. A febrile when checked prior to shot

Release 10 — days 1–6 daily, dose 3

2021-12-06

Systemic reaction (other): Swollen lymph nodes in armpit on injection side

2021-12-07

Systemic reaction (other): Swollen lymph nodes on shot side under arm

2021-12-08

Systemic reaction (other): Swollen lymph nodes arm out of shot side

2021-12-09

Systemic reaction (other): Lymph nodes under arm on shot side still swollen

Release 10 — day 7, dose 3

2021-12-10

Systemic reaction (other): Lymph node under arm shot side still swollen but not as much

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: Covid 19
Healthcare visit (other): Employee health clinic

Release 12 — days 1–6 daily, dose 5

2022-12-31

Systemic reaction (other): Swollen lymph nodes underarm on shot side

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SROAura ✓ ✓ ✓
SROFlushing · · ✓
SROHallucination, olfactory ✓ ✓ ✓
SROHeadache ○ ○ ○
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROMigraine ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSensitivity to weather change ✓ ✓ ✓
SROTremor ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release