35F-11713-83446
4 vaccinations
6 coded responses
46 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 352 / AL
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Pfizer-BioNTech
-
2021-01-15
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal painAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-01-18
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-08
Dose 2 — Pfizer-BioNTech
-
2021-02-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-22
Survey response — day 14, dose 2MedDRA: Chills, Gait disturbance, Headache, Vertigo — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have had a headache for days and vertigo! Im stumbling all over the place. Also low grade chills. If I didnt know any better Id think I was sick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-05-10
- 2021-08-09
-
2021-11-04
Dose 3 — Pfizer-BioNTech
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Sleep terror — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Night terrorsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Headache, Abdominal painAdult check-in
- 2021-11-11
- 2021-11-18
- 2021-11-27
- 2021-12-11
- 2021-12-16
-
2022-02-03
Survey response — 3 months, dose 3MedDRA: Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had an recurring urticaria since my booster. 2 different doctors diagnosed it but even after treatment it continues to occur out of nowhere. I'm worried that it's some type of allergy associated with my booster. HELP!MedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-09
-
2022-04-19
Dose 4 — Moderna
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
-
2022-05-10
Survey response — day 21, dose 4MedDRA: Bronchitis — Feeling: Fair · Be unable to work or attend schoolFree text: I have a bronchial infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-21
- 2022-10-20
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Back pain
Systemic reaction (other): Chest pain
Release 4 — day 14, dose 2
Symptoms: I have had a headache for days and vertigo! Im stumbling all over the place. Also low grade chills. If I didnt know any better Id think I was sick.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Night terrors
Release 11 — 3 months, dose 3
Symptoms: I have had an recurring urticaria since my booster. 2 different doctors diagnosed it but even after treatment it continues to occur out of nowhere. I'm worried that it's some type of allergy associated with my booster. HELP!
Release 11 — day 21, dose 4
Symptoms: I have a bronchial infection
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 | Bronchitis | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Sleep terror | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release