2W3-26264-21002
5 vaccinations
12 coded responses
70 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 468 / IN
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Pfizer-BioNTech
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain in extremity — Feeling: Good · Site: PainFree text: Chilly last night & mildly achy. Sore arm today - not a big deal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-27
Dose 2 — Pfizer-BioNTech
- 2021-03-27
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Felt really tired last evening & feverish around 7 pm - but had no fever. Feel fine today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Fever · HeadacheFree text: Mild - Hurts top of head only when bending overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-25
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pain in extremity — Feeling: GoodFree text: Slight Sore arm & a little tired last night. Fine today!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
-
2022-01-04
Survey response — 3 months, dose 3MedDRA: Asthma, Influenza virus test negative, Office visit, Pre-existing disease, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection/asthma flare. Dr tested - Neg Covid, Neg Flu. · Healthcare visit (other): Pulmonologist visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-05
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-12
- 2022-04-13
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen sore lymph nodes on left collarbone.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph node swelling down, but still tender.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Neck Node still tender but swelling doneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
-
2022-10-11
Survey response — 6 months, dose 4MedDRA: Office visit, SARS-CoV-2 test positive, Telemedicine — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Tested Covid positive at Dr office Sept 15, 2022 · Healthcare visit (other): Dr office visit 9/15/22, Televisit 9/19/22, Office visit 9/27/22, follow up scheduled 10/13/22. Still doing breathing treatments & finished 2 rounds antibiotics, + prednisoneMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-13
Dose 5 — Pfizer-BioNTech
- 2022-12-13
- 2022-12-14
- 2022-12-15
-
2022-12-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-12-17
Survey response — days 1–6 daily, dose 5MedDRA: Cough, SARS-CoV-2 test positive — Feeling: GoodFree text: Cough (similar to when I had Covid positive test)MedDRA releases: 2024-11 · check-in free text available
- 2022-12-18
- 2022-12-19
- 2022-12-20
- 2022-12-27
- 2023-01-03
- 2023-01-10
-
2023-01-17
Survey response — day 35, dose 5MedDRA: Burning sensation, Pre-existing disease, Rash, Rash pruritic, Urticaria — Feeling: GoodMedDRA releases: 2024-11
- 2023-01-24
-
2023-03-14
Survey response — 3 months, dose 5MedDRA: Basal cell carcinoma, Biopsy skin abnormal, Lymphadenopathy, Solar lentigo — Feeling: GoodMedDRA releases: 2024-11
- 2023-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
| 5 | 2022-12-13 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Chilly last night & mildly achy. Sore arm today - not a big deal.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Felt really tired last evening & feverish around 7 pm - but had no fever. Feel fine today.
Systemic reaction (other): Mild - Hurts top of head only when bending over
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight Sore arm & a little tired last night. Fine today!
Release 10 — 3 months, dose 3
Symptoms: Sinus infection/asthma flare. Dr tested - Neg Covid, Neg Flu.
Healthcare visit (other): Pulmonologist visit
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen sore lymph nodes on left collarbone.
Systemic reaction (other): Lymph node swelling down, but still tender.
Systemic reaction (other): Neck Node still tender but swelling done
Release 12 — 6 months, dose 4
Symptoms: Tested Covid positive at Dr office Sept 15, 2022
Healthcare visit (other): Dr office visit 9/15/22, Televisit 9/19/22, Office visit 9/27/22, follow up scheduled 10/13/22. Still doing breathing treatments & finished 2 rounds antibiotics, + prednisone
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Cough (similar to when I had Covid positive test)
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 | Telemedicine | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Basal cell carcinoma | · | · | ✓ |
| SD | Biopsy skin abnormal | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Solar lentigo | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release