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3MD-14702-35112

3 vaccinations 8 coded responses 41 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
553 / MN
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-28
    Registered in v-safe
  2. 2021-04-28
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-26
    Survey response — day 28, dose 1
    MedDRA: Wheezing — Feeling: Fair
    Free text: I've been wheezing and feeling out of breath easily when I'm moving around.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-02
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-06-09
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-06-16
    Dose 2 — Pfizer-BioNTech
  17. 2021-06-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-06-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Site: Pain, Redness · Joint pains
    Free text: Joint pain could be my arthritis flaring up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-06-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-06-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-06-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-06-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  24. 2021-06-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  25. 2021-06-30
    Survey response — day 14, dose 2
    MedDRA: Arthritis, Hypersomnia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: All my joints that have arthritis in them, especially my back and knees, have been inflamed and very painful. I'm also sleeping more than normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-07-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-09-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-12-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-01-18
    Dose 3 — Moderna
  33. 2022-01-18
    Survey response — day 0, dose 3
    MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Sore throat and cold symptoms
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-01-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  35. 2022-01-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Cold symptoms; runny nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-01-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Runny nose, cough
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-01-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Hospitalisation — Feeling: Fair · Fatigue or tiredness
    Free text: Im in the hospital for an unrelated issue.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-01-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2022-01-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2022-01-25
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2022-02-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-08
    Survey response — day 21, dose 3
    MedDRA: Cystitis, Hospitalisation, Muscular weakness, Urinary tract infection — 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 consultation, Emergency room or emergency department visit, Hospitalization
    Free text: I lost the strength in one leg, for standing about a week before i got the booster. Ive been in the hospital since 1/21 and symptoms have continued to worsen. I got a bladder and urinary tract infection which was successfully treated with antibiotics
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-02-08
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  44. 2022-02-09
    Call successful
    Does not wish to fill out VAERS report
  45. 2022-02-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-02-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  47. 2022-03-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Pfizer-BioNTech
22021-06-16Pfizer-BioNTech
32022-01-18Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 28, dose 1

2021-05-26

Symptoms: I've been wheezing and feeling out of breath easily when I'm moving around.

Release 9 — days 1–6 daily, dose 2

2021-06-17

Systemic reaction (other): Joint pain could be my arthritis flaring up.

Release 9 — day 14, dose 2

2021-06-30

Symptoms: All my joints that have arthritis in them, especially my back and knees, have been inflamed and very painful. I'm also sleeping more than normal.

Release 10 — day 0, dose 3

2022-01-18

Systemic reaction (other): Sore throat and cold symptoms

Release 10 — days 1–6 daily, dose 3

2022-01-20

Systemic reaction (other): Cold symptoms; runny nose, cough

Release 11 — days 1–6 daily, dose 3

2022-01-21

Systemic reaction (other): Runny nose, cough

2022-01-22

Systemic reaction (other): Im in the hospital for an unrelated issue.

Release 11 — day 21, dose 3

2022-02-08

Symptoms: I lost the strength in one leg, for standing about a week before i got the booster. Ive been in the hospital since 1/21 and symptoms have continued to worsen. I got a bladder and urinary tract infection which was successfully treated with antibiotics cut off by CDC

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
SDArthritis ✓ ✓ ✓
SDCystitis · · ✓
SDHospitalisation · · ✓
SDHypersomnia ✓ ✓ ✓
SDMuscular weakness · · ✓
SDPre-existing disease ✓ ✓ ✓
SDUrinary tract infection · · ✓
SDWheezing ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROCough · · ✓
SROHospitalisation · · ✓
SRONasopharyngitis · · ✓
SROOropharyngeal pain · · ✓
SROPre-existing disease ✓ ✓ ✓
SRORhinorrhoea · · ✓

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