36W-86185-56858
4 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Pfizer-BioNTech
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
-
2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain · HeadacheFree text: Injection site is warm to the touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Survey response — day 35, dose 2MedDRA: Fatigue, Feeling hot, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I received the first dose of the shingles vaccine on 4/9/2021. I developed a fever, sore and warm arm, and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-06-08
Survey response — 3 months, dose 2MedDRA: Arthralgia, Unevaluable event — 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 consultationFree text: Symptoms: Systemic joint pain. · Healthcare visit (other): BloodworkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-10-16
Dose 3 — Pfizer-BioNTech
-
2021-11-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-09
-
2022-05-18
Dose 4 — Moderna
- 2022-05-18
- 2022-05-19
-
2022-05-20
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Just didn't feel up to par. Didn't go to the gym today. Took Advil. Feel ok now. Didn't have a fever, but felt feverish last yesterday and early this morning .MedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-27
- 2022-06-01
-
2022-06-08
Survey response — day 21, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: My Trigeminal Neuralgia was in remission, but it returned yesterday. I am certain that it is unrelatedMedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-08-19
- 2022-11-16
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2021-10-16 | Pfizer-BioNTech | No |
| 4 | 2022-05-18 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site is warm to the touch
Release 7 — day 35, dose 2
Symptoms: I received the first dose of the shingles vaccine on 4/9/2021. I developed a fever, sore and warm arm, and fatigue.
Release 8 — 3 months, dose 2
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Just didn't feel up to par. Didn't go to the gym today. Took Advil. Feel ok now. Didn't have a fever, but felt feverish last yesterday and early this morning .
Release 11 — day 21, dose 4
Symptoms: My Trigeminal Neuralgia was in remission, but it returned yesterday. I am certain that it is unrelated
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release