2T5-25912-20931
5 vaccinations
18 coded responses
59 check-ins
17 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 930 / CA
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
- 2020-12-24
-
2020-12-26
Survey response — days 1–6 daily, dose 1MedDRA: Epigastric discomfort — Feeling: GoodFree text: Slight stomache irritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-27
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Dyspnoea, Pre-existing disease — Feeling: Good · NauseaFree text: Occational shortness of breath not sure if side effect or my asthma with the windsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Survey response — day 7, dose 1MedDRA: Gastrointestinal sounds abnormal, Gastrointestinal tract irritation — Feeling: GoodFree text: Intestinal irritation rumbling more than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Good · Site: Pain · Headache, Muscle or body aches, NauseaFree text: Abdominal discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
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2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Sneezing and slight runny nose last two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
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2021-01-18
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Sl headache maybe from Santa Ana winds todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
- 2021-02-08
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2021-02-15
Survey response — day 35, dose 2MedDRA: Headache, Malaise, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Headache nausea and not feeling wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-04-12
- 2021-07-12
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2021-10-02
Dose 3 — Pfizer-BioNTech
- 2021-10-02
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal discomfort, Feeling abnormal, Flatulence — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Abdominal discomfort,gasiness, just not feeling goodMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Hyperhidrosis, Pain — Feeling: Poor · Site: Pain · Fever · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Loose stools, feeling achy, sweating but no feverMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-16
- 2021-10-23
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2021-10-30
Survey response — day 28, dose 3MedDRA: Diarrhoea, Exposure to SARS-CoV-2 — Feeling: GoodFree text: Have had loose stools since vaccine. No worse but about same. Also told I was exposed to COVID on 10/27/21MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
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2021-11-13
Survey response — day 42, dose 3MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Survey response — 3 months, dose 3MedDRA: Ageusia, Anosmia, Cough, Dizziness, Headache, Myalgia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school, 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: Dizziness, cough, low grade fever, runny nose ,muscle aches, headache, loss of taste/smell. Covid test pendingMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-02
-
2022-05-19
Dose 4 — Moderna
- 2022-05-19
-
2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-06-02
- 2022-06-09
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2022-06-16
Survey response — day 28, dose 4MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend schoolFree text: Tested Covid positive with symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-06-23
Survey response — day 35, dose 4MedDRA: Cough, Headache, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: Headache, fever, body aches, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
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2022-08-18
Survey response — 3 months, dose 4MedDRA: Anxiety, Cough, Dyspnoea, Fatigue, Hyperhidrosis, Hypogeusia, Hyposmia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breath started at end of 10days after Covid positive diagnosis 6/12/22 . Also continue to have fatigue,anxiety,sweating for no reason , blunted taste/smell, and cough. Not sure when last check in was.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 5 — Moderna
- 2022-10-04
- 2022-10-05
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2022-10-06
Survey response — day 7, dose 5MedDRA: Abdominal discomfort — Feeling: Good · HeadacheFree text: Stomach upsetMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-20
-
2022-10-27
Survey response — day 28, dose 5MedDRA: Headache, Pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Started yesterday achy body,runny nose,headache. Maybe getting sickMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-10
- 2022-12-29
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2023-03-30
Survey response — 6 months, dose 5MedDRA: COVID-19, Cough, Headache, Pain, Pyrexia, Rhinorrhoea — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-30
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-31
- 2023-04-03
- 2023-04-04
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2023-04-04
Callback requested for01:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
| 4 | 2022-05-19 | Moderna | No |
| 5 | 2022-09-29 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Slight stomache irritability
Systemic reaction (other): Occational shortness of breath not sure if side effect or my asthma with the winds
Release 1 — day 7, dose 1
Systemic reaction (other): Intestinal irritation rumbling more than normal
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Abdominal discomfort
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sneezing and slight runny nose last two days
Release 2 — day 7, dose 2
Systemic reaction (other): Sl headache maybe from Santa Ana winds today
Release 4 — day 35, dose 2
Symptoms: Headache nausea and not feeling well
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Abdominal discomfort,gasiness, just not feeling good
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Loose stools, feeling achy, sweating but no fever
Release 10 — day 28, dose 3
Symptoms: Have had loose stools since vaccine. No worse but about same. Also told I was exposed to COVID on 10/27/21
Release 10 — day 42, dose 3
Symptoms: Headaches
Release 10 — 3 months, dose 3
Symptoms: Dizziness, cough, low grade fever, runny nose ,muscle aches, headache, loss of taste/smell. Covid test pending
Release 12 — day 28, dose 4
Symptoms: Tested Covid positive with symptoms
Release 12 — day 35, dose 4
Symptoms: Headache, fever, body aches, cough
Release 12 — 3 months, dose 4
Symptoms: Shortness of breath started at end of 10days after Covid positive diagnosis 6/12/22 . Also continue to have fatigue,anxiety,sweating for no reason , blunted taste/smell, and cough. Not sure when last check in was.
Release 12 — day 7, dose 5
Systemic reaction (other): Stomach upset
Release 12 — day 28, dose 5
Symptoms: Started yesterday achy body,runny nose,headache. Maybe getting sick
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Epigastric discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Gastrointestinal sounds abnormal | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal tract irritation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release