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2T9-33506-13008

5 vaccinations 15 coded responses 46 check-ins 14 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
100 / NY
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: dizzy, woozy, faint, weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Woozy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Abdominal pain
    Adult check-in
  6. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Abdominal pain
    Adult check-in
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-13
    Dose 2 — Pfizer-BioNTech
  11. 2021-02-13
    Health check-in — day 0, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  13. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry throat, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: dry/sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry throat, Influenza like illness, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: lung hotness the way one gets with a flu.MILD. And MILD dry/sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-27
    Survey response — day 14, dose 2
    MedDRA: Hypersensitivity — Feeling: Good · Be unable to do your normal daily activities
    Free text: bad allergies. dust or something. one day only.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-06
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: fatigue. may be aspect of mild long haul experience. probably had Covid in March (sick 2.5 weeks). seems when i fatigue much more extremely since then. probably not related to vax. and big picture, something very manageable with awareness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-27
    Survey response — day 42, dose 2
    MedDRA: Adverse food reaction, Chromaturia — Feeling: Good
    Free text: Assume I had covid last March (2.5 wks ill). Pre Covid, if I ate beets, my pee tinted. Post covid, no tint. This week, about a year since Covid and about a month since vax, tint returns! too much info, but ....
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-15
    Survey response — 3 months, dose 2
    MedDRA: Concussion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: concussion. not covid-related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-28
    Dose 3 — Pfizer-BioNTech
  26. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  27. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chondrocalcinosis, Gout — Feeling: Fair · Site: Swelling · Headache, Joint pains
    Free text: i appear to have gout or pseudogout and dont think symptoms are related to vax
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  30. 2021-10-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-19
    Survey response — day 21, dose 3
    MedDRA: Concussion, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: headaches probably due to post concussion and now taking magnesium per doc suggest but may stop. nothing to do with vax or booater or covid.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-03-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-04
    Dose 4 — Moderna
  39. 2022-04-15
    Survey response — day 7, dose 4
    MedDRA: Adverse reaction — Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: these occured within 36 hours after Moderna booster and all abated.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-04-27
    Survey response — day 21, dose 4
    MedDRA: Chills, Gastrointestinal pain, Headache, Myalgia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Vomiting, chills, muscle ache, headache, intestine cramps. 42-72 hrs. Tested neg. for Covid. Think symptoms were side effects from taking prescribed bone med. Alendronate Sodium 70 mg. Feel fine now. Probably not covid or vax related.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-27
    Report sent to call center — day 21, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  43. 2022-04-29
  44. 2022-05-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-05-09
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-16
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-07-04
    Survey response — 3 months, dose 4
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Feeling hot, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good
    Free text: intermittent sore throat, headache, feverish (though never had fever), fatigue. my spouse had Covid but I had 2 negative PCR tests and 2 negatuve rapid tests.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-09-15
    Dose 5 — Moderna
  49. 2022-10-03
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-19
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-22
    Survey response — day 35, dose 5
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: cold. not Covid. PCR test negative.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-22
    Report sent to call center — day 35, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  53. 2022-10-25
  54. 2022-10-25
  55. 2022-10-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  56. 2022-10-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  57. 2022-10-27
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-12-15
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  59. 2023-03-16
    Survey response — 6 months, dose 5
    MedDRA: Bronchitis — 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 · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  60. 2023-03-16
    Report sent to call center — 6 months, dose 5
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  61. 2023-03-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Pfizer-BioNTech
22021-02-13Pfizer-BioNTech
32021-09-28Pfizer-BioNTech No
42022-04-04Moderna No
52022-09-15Moderna No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): dizzy, woozy, faint, weakness

2021-01-25

Systemic reaction (other): Woozy.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): dry/sore throat

2021-02-16

Systemic reaction (other): lung hotness the way one gets with a flu.MILD. And MILD dry/sore throat.

Release 4 — day 14, dose 2

2021-02-27

Symptoms: bad allergies. dust or something. one day only.

Release 5 — day 21, dose 2

2021-03-06

Symptoms: fatigue. may be aspect of mild long haul experience. probably had Covid in March (sick 2.5 weeks). seems when i fatigue much more extremely since then. probably not related to vax. and big picture, something very manageable with awareness.

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Assume I had covid last March (2.5 wks ill). Pre Covid, if I ate beets, my pee tinted. Post covid, no tint. This week, about a year since Covid and about a month since vax, tint returns! too much info, but ....

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: concussion. not covid-related.

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): i appear to have gout or pseudogout and dont think symptoms are related to vax

Release 10 — day 21, dose 3

2021-10-19

Symptoms: headaches probably due to post concussion and now taking magnesium per doc suggest but may stop. nothing to do with vax or booater or covid.

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): these occured within 36 hours after Moderna booster and all abated.

Release 11 — day 21, dose 4

2022-04-27

Symptoms: Vomiting, chills, muscle ache, headache, intestine cramps. 42-72 hrs. Tested neg. for Covid. Think symptoms were side effects from taking prescribed bone med. Alendronate Sodium 70 mg. Feel fine now. Probably not covid or vax related.

Release 12 — 3 months, dose 4

2022-07-04

Symptoms: intermittent sore throat, headache, feverish (though never had fever), fatigue. my spouse had Covid but I had 2 negative PCR tests and 2 negatuve rapid tests.

Release 12 — day 35, dose 5

2022-10-22

Symptoms: cold. not Covid. PCR test negative.

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
SDAdverse food reaction ✓ ✓ ✓
SDBronchitis · · ✓
SDChills · · ✓
SDChromaturia ✓ ✓ ✓
SDConcussion ✓ ✓ ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling hot · · ✓
SDGastrointestinal pain · · ✓
SDHeadache · · ✓
SDHypersensitivity ✓ ✓ ✓
SDMyalgia · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting · · ✓
SROAdverse reaction · · ✓
SROChondrocalcinosis · · ✓
SRODizziness ✓ ✓ ✓
SRODry throat ✓ ✓ ✓
SROGout · · ✓
SROInfluenza like illness ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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

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