3L6-30977-92120
4 vaccinations
4 coded responses
51 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 390 / MS
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Pfizer-BioNTech
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-10
-
2021-03-11
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-18
-
2021-03-25
Survey response — day 21, dose 2MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Just from 7 surgeries hardware up n down my in- tire back! Degenerative docs disease! My ty. Shoulder has been getting worse!! Specially after both vacs. Need surgery again, on both shoulders!!! Hubby was so sick, after first Vax. 11days in hospital! · Healthcare visit (other): Im disabled, since 1984! Ive not planned on anymore ! havent been able to do my Hair business, since after first surgery, out of 7 surgeries since!!! I have 5 children and grands. No plans for anymoreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-08
- 2021-04-15
- 2021-06-05
- 2021-09-02
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Muscle or body achesAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-10
- 2021-12-29
- 2022-03-15
- 2022-03-29
-
2022-05-15
Dose 4 — Pfizer-BioNTech
- 2022-05-16
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: No.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
-
2022-05-19
Survey response — days 1–6 daily, dose 4MedDRA: Dyspepsia — Feeling: FairFree text: Indigestion, from food I think.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-06-19
- 2022-06-28
- 2022-08-14
- 2022-11-13
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): No
Release 6 — day 21, dose 2
Symptoms: Just from 7 surgeries hardware up n down my in- tire back! Degenerative docs disease! My ty. Shoulder has been getting worse!! Specially after both vacs. Need surgery again, on both shoulders!!! Hubby was so sick, after first Vax. 11days in hospital! cut off by CDC
Healthcare visit (other): Im disabled, since 1984! Ive not planned on anymore ! havent been able to do my Hair business, since after first surgery, out of 7 surgeries since!!! I have 5 children and grands. No plans for anymore
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No.
Systemic reaction (other): Indigestion, from food I think.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release