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36F-38189-43432

4 vaccinations 3 coded responses 26 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
054 / VT
Registered
2021-03-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-28
    Registered in v-safe
  3. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-12
    Dose 2 — Pfizer-BioNTech
  7. 2021-04-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work
    Adult check-in
  9. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-10
    Survey response — day 28, dose 2
    MedDRA: Headache, Pre-existing disease, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I don't think these symptoms are related to vaccine. I have Meniere's and a rare artery syndrome which have many many symptoms. So headaches and vertigo for past two weeks could be from those or amoxicillin.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-10
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-24
    Survey response — day 42, dose 2
    MedDRA: Back pain, Headache, Intracranial hypotension — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: They have nothing to do with the vaccine I would guess as I was sick to start. Backache, headache, cranial hypotension
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-24
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-22
    Dose 3 — Moderna
    Co-administered: Flu
  24. 2022-01-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  25. 2022-03-29
    Dose 4 — Moderna
  26. 2022-04-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-12
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-04-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-04-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-03
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-10
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-06-28
    Survey response — 3 months, dose 4
    MedDRA: Office visit, Pyrexia — 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 consultation
    Free text: Symptoms: High fever for 6 days. Took rapid tests day 2, 3,4 and 5. All negative. No PCR. Doc won't order it. · Healthcare visit (other): Went in person yester. Missed MRI though.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-06-28
    Report sent to call center — 3 months, 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)
  34. 2022-06-29
  35. 2022-06-29
  36. 2022-06-29
  37. 2022-06-29
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  38. 2022-09-29
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2023-03-29
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Pfizer-BioNTech
22021-04-12Pfizer-BioNTech
32021-10-22Moderna Flu
42022-03-29Moderna No

Call center

3 call center cases

3 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-10

Symptoms: I don't think these symptoms are related to vaccine. I have Meniere's and a rare artery syndrome which have many many symptoms. So headaches and vertigo for past two weeks could be from those or amoxicillin.

Release 8 — day 42, dose 2

2021-05-24

Symptoms: They have nothing to do with the vaccine I would guess as I was sick to start. Backache, headache, cranial hypotension

Release 12 — 3 months, dose 4

2022-06-28

Symptoms: High fever for 6 days. Took rapid tests day 2, 3,4 and 5. All negative. No PCR. Doc won't order it.
Healthcare visit (other): Went in person yester. Missed MRI though.

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
HCVOOffice visit · · ✓
SDBack pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDIntracranial hypotension ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SDVertigo ✓ ✓ ✓

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

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