35Y-17206-82709
5 vaccinations
3 coded responses
35 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 063 / CT
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Pfizer-BioNTech
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: It started after I laid down and layed on the vax site. It was immediate, I got a shooting pain which radiated to my chest. After 11P--during the night only; along with shortness of breath. Slept 10 hrs which only happens when I am sick. I felt better after 9AM.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-08
Health check-in — day 7, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-04-15
-
2021-04-22
Dose 2 — Pfizer-BioNTech
-
2021-04-22
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Lasted only first two hours after vax. Fine afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-29
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-04
- 2021-07-22
- 2021-10-21
-
2021-11-05
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-04-22
- 2022-05-06
-
2022-05-10
Dose 4 — ModernaCo-administered: Flu
- 2022-06-04
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-08-09
-
2022-09-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-21
Survey response — day 28, dose 5MedDRA: Abdominal pain, Diarrhoea, Dizziness, Headache, Nausea, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: At home COVID test is negative. Last 3days I've had after booster symtoms: abdominal pain/diarrhea, headaches w/dizziness and nausea. No fevers, at all. I have appt. with my dr ((b)(6), MD) today. · Healthcare visit (other): Dr. (b)(6) in (b)(6), CT @4P 10/21/22MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-10 | Moderna | Flu |
| 5 | 2022-09-23 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): It started after I laid down and layed on the vax site. It was immediate, I got a shooting pain which radiated to my chest. After 11P--during the night only; along with shortness of breath. Slept 10 hrs which only happens when I am sick. I felt better after 9AM.
Release 7 — day 0, dose 2
Systemic reaction (other): Lasted only first two hours after vax. Fine after
Release 12 — day 28, dose 5
Symptoms: At home COVID test is negative. Last 3days I've had after booster symtoms: abdominal pain/diarrhea, headaches w/dizziness and nausea. No fevers, at all. I have appt. with my dr ((b)(6), MD) today.
Healthcare visit (other): Dr. (b)(6) in (b)(6), CT @4P 10/21/22
redacted (b)(6)
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 | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release