34R-26096-46142
5 vaccinations
7 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 503 / IA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Dose 2 — Pfizer-BioNTech
-
2021-01-15
Registered in v-safe
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-04-15
- 2021-07-15
-
2021-10-05
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-01-16
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had COVID end of September 2021MedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Survey response — 6 months, dose 3MedDRA: Joint injury, Pain, Pre-existing disease, Scar pain — Feeling: GoodFree text: Nothing related to COVID. Knee popped and snapped yesterday in fitness class and breast radiated area from 16 months ago seems more sore as well as the sub axillary incision scar is tighter or pulling some.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
-
2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Headache, Pain in extremity, Pre-existing disease — Feeling: Good · Headache, Joint painsFree text: Headache and hands and toe pain yesterday afternoon and evening after I did yesterdays check in. No joint pain today, but odd headache similar to what I experienced when I had COVID end of September 2021.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-18
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: Good · HeadacheFree text: Slight headaches off and on.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
-
2022-09-29
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-08
Survey response — day 7, dose 5MedDRA: Pre-existing disease — Feeling: GoodFree text: Think I had heard the respiratory flu for two weeks when I received flu and COVID vaccinesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-12-29
-
2023-03-30
Survey response — 6 months, dose 5MedDRA: Fall, Office visit, Tibia fracture, Tooth abscess, Toothache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2023-03-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-14 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-29 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 10 — 12 months, dose 2
Symptoms: Had COVID end of September 2021
Release 11 — 6 months, dose 3
Symptoms: Nothing related to COVID. Knee popped and snapped yesterday in fitness class and breast radiated area from 16 months ago seems more sore as well as the sub axillary incision scar is tighter or pulling some.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Headache and hands and toe pain yesterday afternoon and evening after I did yesterdays check in. No joint pain today, but odd headache similar to what I experienced when I had COVID end of September 2021.
Systemic reaction (other): Slight headaches off and on.
Release 11 — day 7, dose 4
Systemic reaction (other): No
Release 12 — day 7, dose 5
Systemic reaction (other): Think I had heard the respiratory flu for two weeks when I received flu and COVID vaccines
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 | Tooth abscess | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Scar pain | · | · | ✓ |
| SD | Tibia fracture | · | · | ✓ |
| SD | Tooth abscess | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release