3JL-22020-66686
6 vaccinations
8 coded responses
65 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 049 / ME
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
- 2021-03-21
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-06-24
Survey response — 3 months, dose 2MedDRA: Skin discolouration — Feeling: GoodFree text: Raised brown spot on back, irregular in shape. Been referred to a dermatologist. Probably unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-24
-
2021-10-05
Dose 3 — Pfizer-BioNTech
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
-
2022-01-04
Survey response — 3 months, dose 3MedDRA: Condition aggravated, Ligament pain, Paranasal sinus hypersecretion, Pre-existing disease, Tendon pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Frequent sinus drainage for no apparent reason. I have sore ligaments and tendons in left knee and heel... came on without strenuous activity. Site of previous Shingles outbreak flaring up a bit... been vaccinated with two doses Shingrix.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-31
Dose 4 — Pfizer-BioNTech
-
2022-04-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-02
Survey response — days 1–6 daily, dose 4MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: draining sinusesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-03
- 2022-04-04
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-14
- 2022-04-21
-
2022-04-28
Survey response — day 28, dose 4MedDRA: Arthralgia, Back pain, Dyspnoea, Flank pain, Medical counselling, Musculoskeletal chest pain, Pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Difficulty taking deep breaths. Moderately painful on left side below rib cage. Pain at base of rib cage, radiating up to shoulder and toward center of left of back. Just saw nurse practitioner and had a couplevofcchest x-rays. · Healthcare visit (other): two chest x-raysMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-29
-
2022-05-05
Survey response — day 35, dose 4MedDRA: Lung hyperinflation, Respiratory disorder, SARS-CoV-2 test negative, X-ray abnormal — Feeling: Fair · Be unable to do your normal daily activitiesFree text: X-rays showed slightly hyperinflated lungs, but breathing mostly better. I think heart rate goes up with activity. Nurse practitioner did not do a PCR test... I did at home tests - negative. Followup reporting call was disconnected.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-06-30
-
2022-09-09
Dose 5 — Pfizer-BioNTech
- 2022-09-09
-
2022-09-10
Survey response — days 1–6 daily, dose 5MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: lack of appetiteMedDRA releases: 2024-11 · check-in free text available
- 2022-09-11
-
2022-09-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-09-14
Survey response — days 1–6 daily, dose 5MedDRA: Nausea — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Nausea probably caused by something else.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
-
2022-09-23
Survey response — day 14, dose 5MedDRA: Body temperature abnormal, Sinus disorder, Throat irritation, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had some kind of sinus issues, for a few days, with post nasal drip, scratchy throat, mostly on left side, and subnormal tempersture.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-11
-
2023-04-24
Dose 6 — Moderna
-
2023-04-25
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2023-04-26
- 2023-04-27
- 2023-04-28
- 2023-04-29
- 2023-04-30
- 2023-05-01
- 2023-05-08
- 2023-05-15
- 2023-05-22
- 2023-05-29
- 2023-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | No |
| 6 | 2023-04-24 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: Raised brown spot on back, irregular in shape. Been referred to a dermatologist. Probably unrelated.
Release 10 — 3 months, dose 3
Symptoms: Frequent sinus drainage for no apparent reason. I have sore ligaments and tendons in left knee and heel... came on without strenuous activity. Site of previous Shingles outbreak flaring up a bit... been vaccinated with two doses Shingrix.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): draining sinuses
Release 11 — day 28, dose 4
Symptoms: Difficulty taking deep breaths. Moderately painful on left side below rib cage. Pain at base of rib cage, radiating up to shoulder and toward center of left of back. Just saw nurse practitioner and had a couplevofcchest x-rays.
Healthcare visit (other): two chest x-rays
Release 11 — day 35, dose 4
Symptoms: X-rays showed slightly hyperinflated lungs, but breathing mostly better. I think heart rate goes up with activity. Nurse practitioner did not do a PCR test... I did at home tests - negative. Followup reporting call was disconnected.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): lack of appetite
Systemic reaction (other): Nausea probably caused by something else.
Release 12 — day 14, dose 5
Symptoms: Had some kind of sinus issues, for a few days, with post nasal drip, scratchy throat, mostly on left side, and subnormal tempersture.
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 | Back pain | · | · | ✓ |
| SD | Body temperature abnormal | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Ligament pain | · | · | ✓ |
| SD | Lung hyperinflation | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Tendon pain | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | X-ray abnormal | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Paranasal sinus hypersecretion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release