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3LU-18338-62368

4 vaccinations 17 coded responses 54 check-ins 16 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-23
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-13
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-13
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness — Feeling: Good · Site: Pain, Itching
    Free text: First day (evening) mild flu-like symptoms but went away by the next day. Did not report it earlier b/c you contacted me as I was leaving the injection facility and symptoms showed-up in the evening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-22
    Dose 3 — Pfizer-BioNTech
  29. 2021-09-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  30. 2021-09-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Influenza like illness — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Free text: Felt as if I had the flu.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-09-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Today I feel I am 98% back to normal since the Covid booster shot 9/22/2021.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-09-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  33. 2021-09-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-09-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-09-29
    Survey response — day 7, dose 3
    MedDRA: Injection site pain — Feeling: Good
    Free text: Had a flu shot yesterday. A bit sore around injection area but no other symptoms. All is well.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-10-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-10-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-03-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-21
    Dose 4 — Pfizer-BioNTech
  44. 2022-04-21
    Survey response — day 0, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site pain, Mobility decreased, Myalgia — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Free text: Arm where I recd injection, very sore and muscle of that arm sore could hardly lift that arm.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Today all symptoms from yesterday are gone.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-04-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-04-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: No, back to normal. Thank you
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-04-26
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-04-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-04-28
    Survey response — day 7, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-05-05
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-05-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-07-21
    Survey response — 3 months, dose 4
    MedDRA: Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe sciatica issues.&
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-07-21
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  59. 2022-07-22
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  60. 2022-10-20
    Survey response — 6 months, dose 4
    MedDRA: Influenza like illness, Sciatica — Feeling: Good
    Free text: Probably not related but sever sciatica. After several months of medical treatment, nearly under control. Also, I did get a bivalent booster on October 9, 2022. First day and 2nd day only, light flu like conditions then perfect.
    MedDRA releases: 2024-11 · check-in free text available
  61. 2023-04-21
    Survey response — 12 months, dose 4
    MedDRA: Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  62. 2023-04-21
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  63. 2023-04-24
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Pfizer-BioNTech
22021-02-13Pfizer-BioNTech
32021-09-22Pfizer-BioNTech No
42022-04-21Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): First day (evening) mild flu-like symptoms but went away by the next day. Did not report it earlier b/c you contacted me as I was leaving the injection facility and symptoms showed-up in the evening.

Release 9 — days 1–6 daily, dose 3

2021-09-24

Systemic reaction (other): Felt as if I had the flu.

2021-09-25

Systemic reaction (other): Today I feel I am 98% back to normal since the Covid booster shot 9/22/2021.

2021-09-27

Systemic reaction (other): None

2021-09-28

Systemic reaction (other): None

Release 9 — day 7, dose 3

2021-09-29

Systemic reaction (other): Had a flu shot yesterday. A bit sore around injection area but no other symptoms. All is well.

Release 11 — day 0, dose 4

2022-04-21

Systemic reaction (other): None

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): Arm where I recd injection, very sore and muscle of that arm sore could hardly lift that arm.

2022-04-23

Systemic reaction (other): Today all symptoms from yesterday are gone.

2022-04-24

Systemic reaction (other): No

2022-04-25

Systemic reaction (other): No, back to normal. Thank you

2022-04-26

Systemic reaction (other): None

2022-04-27

Systemic reaction (other): None

Release 11 — day 7, dose 4

2022-04-28

Systemic reaction (other): None

Release 12 — 3 months, dose 4

2022-07-21

Symptoms: Severe sciatica issues.&

Release 12 — 6 months, dose 4

2022-10-20

Symptoms: Probably not related but sever sciatica. After several months of medical treatment, nearly under control. Also, I did get a bivalent booster on October 9, 2022. First day and 2nd day only, light flu like conditions then perfect.

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
HCVOOffice visit · · ✓
SDCough · · ✓
SDInfluenza like illness · · ✓
SDSciatica · · ✓
SROAdverse reaction · · ✓
SROInfluenza like illness ✓ ✓ ✓
SROInjection site pain · · ✓
SROMobility decreased · · ✓
SROMyalgia · · ✓
SRONo adverse event · · ✓

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