3C5-55603-05410
5 vaccinations
6 coded responses
32 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 029 / RI
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Registered in v-safe
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Dose 2 — Pfizer-BioNTech
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessAdult check-in
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Fever · Fatigue or tiredness, DiarrheaFree text: Trouble sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Brief - 3 day - bout of tintinitis in one ear 2 weeks after my first dose. Just realized the two were connected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-04-03
-
2021-04-10
Survey response — day 21, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: The tintinitis is back - exactly the same length of time after my first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — day 28, dose 2MedDRA: Pruritus, Rash, Self-medication — Feeling: Good · 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: Right after filing last week's report - 3 wks after my second dose - I broke out in Pfizer Vaccine rash! All over. Lasted 4 days. Took a lot of Benadryl and used steroid cream to stop the itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-24
- 2021-05-01
- 2021-06-19
- 2021-09-18
-
2021-10-30
Dose 3 — Moderna
- 2022-03-22
- 2022-04-05
-
2022-06-01
Dose 4 — Moderna
-
2022-10-03
Dose 5 — Moderna
- 2022-10-11
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-15
-
2023-01-02
Survey response — 3 months, dose 5MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-05
Survey response — 6 months, dose 5MedDRA: Office visit, Post-acute COVID-19 syndrome — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-20 | Pfizer-BioNTech | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-06-01 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Trouble sleeping
Systemic reaction (other): Brief - 3 day - bout of tintinitis in one ear 2 weeks after my first dose. Just realized the two were connected.
Release 7 — day 21, dose 2
Symptoms: The tintinitis is back - exactly the same length of time after my first dose.
Release 7 — day 28, dose 2
Symptoms: Right after filing last week's report - 3 wks after my second dose - I broke out in Pfizer Vaccine rash! All over. Lasted 4 days. Took a lot of Benadryl and used steroid cream to stop the itching.
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 | Malaise | · | · | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release