3F8-45306-09799
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 930 / CA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Pfizer-BioNTech
- 2021-04-07
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — day 7, dose 1MedDRA: Feeling abnormal, Tinnitus — Feeling: Fair · Fatigue or tirednessFree text: Brain fog and a slight bit of ear ringingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
-
2021-05-05
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: I canceled my last two Vaccines because I felt like I was getting sick. But now Im feeling much better. I have a second Vaccine scheduled for this FridayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Dose 2 — Pfizer-BioNTech
-
2021-05-12
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
- 2021-05-26
-
2021-06-02
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I dont think they are related to the Vaccine. Ive had stomach issues for the last couple years and they are getting worse. I have been seeing my Dr. · Healthcare visit (other): Regular Dr. aptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
- 2021-06-16
- 2021-06-23
-
2021-08-11
Survey response — 3 months, dose 2MedDRA: Anxiety, Cough, Dysgeusia, Fatigue, Headache, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had a COVID test but it was Negative. I was feeling Fatigued, Tired, I had a strange taste (that went away) random head aches, anxiety and strath throat, very mild cough.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
-
2021-08-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-10
- 2022-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-05-12 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Brain fog and a slight bit of ear ringing
Release 8 — day 28, dose 1
Symptoms: I canceled my last two Vaccines because I felt like I was getting sick. But now Im feeling much better. I have a second Vaccine scheduled for this Friday
Release 8 — day 21, dose 2
Symptoms: I dont think they are related to the Vaccine. Ive had stomach issues for the last couple years and they are getting worse. I have been seeing my Dr.
Healthcare visit (other): Regular Dr. apt
Release 9 — 3 months, dose 2
Symptoms: I had a COVID test but it was Negative. I was feeling Fatigued, Tired, I had a strange taste (that went away) random head aches, anxiety and strath throat, very mild cough.
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 discomfort | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dysgeusia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release