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37A-24540-88344

4 vaccinations 7 coded responses 40 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2020-12-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-24
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-27
    Registered in v-safe
  3. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Poor quality sleep — Feeling: Good · Fatigue or tiredness
    Free text: My fatigue is partially due to not sleeping well at night. Felt this way for about 2-3weeks but I feel vaccine adds to my fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-31
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  10. 2021-01-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-01-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-01-16
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  13. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-01-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea exertional — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: SOB on exertion had this awhile
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  16. 2021-01-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-01-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-02-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-02-09
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Dyspnoea, Fatigue, Immunisation, Pre-existing disease, SARS-CoV-2 test negative, Specialist consultation — Feeling: Fair
    Free text: I am having more SOB, but had this B4 vaccine, so do not think it is related. Go Friday for PFT results, but do feel SOB is worse since 2nd vaccine. Tested neg for Covid 6 days post 2nd one, as I was so tired with >SOB.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-24
    Dose 3 — Pfizer-BioNTech
  24. 2021-09-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-09-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Pain, Pain in jaw — Feeling: Good
    Free text: My jaw on L side at TMJ area has hurt since last night, hurts to open mouth to eat, so having soup!
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-01
    Health check-in — day 7, dose 3
    Feeling: Fair · None
    Adult check-in
  28. 2021-10-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-10-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-10-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-10-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-03-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-22
    Dose 4 — Moderna
  36. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-04-29
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-27
    Survey response — day 35, dose 4
    MedDRA: Dyspnoea, Haematocrit decreased, Haemoglobin decreased, Self-medication, Serum ferritin decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Having workup for anemia. H and H low and iron stores all half of normal. Having > SOB. Pulmonary wkup and chest CT all ok. So I think SOB from being anemic. I am an RN.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-06-03
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  45. 2022-07-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-10-21
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in
  47. 2023-04-22
    Survey response — 12 months, dose 4
    MedDRA: Office visit, SARS-CoV-2 test positive, Vomiting — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Pfizer-BioNTech
22021-01-12Pfizer-BioNTech
32021-09-24Pfizer-BioNTech No
42022-04-22Moderna No

Call center

2 call center cases

2 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): None

2020-12-28

Systemic reaction (other): My fatigue is partially due to not sleeping well at night. Felt this way for about 2-3weeks but I feel vaccine adds to my fatigue

Release 2 — days 1–6 daily, dose 2

2021-01-18

Systemic reaction (other): SOB on exertion had this awhile

Release 3 — day 28, dose 2

2021-02-09

Symptoms: I am having more SOB, but had this B4 vaccine, so do not think it is related. Go Friday for PFT results, but do feel SOB is worse since 2nd vaccine. Tested neg for Covid 6 days post 2nd one, as I was so tired with >SOB.

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): My jaw on L side at TMJ area has hurt since last night, hurts to open mouth to eat, so having soup!

Release 11 — day 35, dose 4

2022-05-27

Symptoms: Having workup for anemia. H and H low and iron stores all half of normal. Having > SOB. Pulmonary wkup and chest CT all ok. So I think SOB from being anemic. I am an RN.

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
SDCondition aggravated ✓ · ✓
SDDyspnoea ○ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHaematocrit decreased · · ✓
SDHaemoglobin decreased · · ✓
SDImmunisation ○ ✓ ○
SDOffice visit · · ✓
SDPre-existing disease ✓ · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSelf-medication · · ✓
SDSerum ferritin decreased · · ✓
SDSpecialist consultation ○ ✓ ○
SDVomiting · · ✓
SROArthralgia · · ✓
SRODyspnoea exertional ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain · · ✓
SROPain in jaw · · ✓
SROPoor quality sleep ✓ ✓ ✓

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