3P4-28167-13609
5 vaccinations
17 coded responses
48 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 027 / MA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Pfizer-BioNTech
-
2021-03-09
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Fair · HeadacheFree text: Funny taste in mouth soon after but didnt last longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · NauseaFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Muscle or body achesFree text: Had an issue with my hip but it does happen to me sometimes but had a little more pain. May not be because of the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Mostly at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: At nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
-
2021-03-30
Dose 2 — Pfizer-BioNTech
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Good · Muscle or body achesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-04-27
-
2021-05-04
Survey response — day 35, dose 2MedDRA: Frequent bowel movements — Feeling: GoodFree text: Not sure its related but Ive been having issues with my intestinal system. A lot of gas and more frequent bowel movements. I do have IBS but it was under control before the vaccines. Could be unrelated. Just thought I would report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
-
2021-06-30
Survey response — 3 months, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: Congestion, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-28
Survey response — 6 months, dose 2MedDRA: Gastrointestinal disorder, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach issues · Healthcare visit (other): VisitMedDRA releases: 2024-11 · check-in free text available
-
2021-09-28
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-01
-
2021-10-15
Dose 3 — Pfizer-BioNTech
- 2022-03-30
-
2022-07-22
Dose 4 — Moderna
-
2022-07-23
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-29
- 2022-08-05
-
2022-08-12
Survey response — day 21, dose 4MedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
- 2022-08-26
-
2022-09-02
Survey response — day 42, dose 4MedDRA: Abdominal pain upper, Diarrhoea, Gastrointestinal disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach issues. Cramps and loose bowelMedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Dose 5 — Pfizer-BioNTech
- 2022-10-20
- 2022-10-21
-
2022-10-22
Survey response — days 1–6 daily, dose 5MedDRA: Oral herpes — Feeling: Fair · HeadacheFree text: Broke out with cold sores on lipMedDRA releases: 2024-11 · check-in free text available
-
2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Lip blister, Oral mucosal blistering — Feeling: Fair · HeadacheFree text: Blisters on lip and inside mouthMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Survey response — days 1–6 daily, dose 5MedDRA: Oral herpes, Stomatitis — Feeling: Fair · HeadacheFree text: Cold sores on lips and sores inside mouthMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — day 7, dose 5MedDRA: Cheilitis, Diarrhoea, Nasal ulcer, Stomatitis — Feeling: FairFree text: Loose bowel, sores on lips, nostrils and mouthMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-11-15
- 2022-11-22
- 2022-11-30
-
2023-01-17
Survey response — 3 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-19
Survey response — 6 months, dose 5MedDRA: Dizziness, Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-07-22 | Moderna | No |
| 5 | 2022-10-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Funny taste in mouth soon after but didnt last long
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded
Systemic reaction (other): Had an issue with my hip but it does happen to me sometimes but had a little more pain. May not be because of the vaccine.
Systemic reaction (other): Mostly at night
Release 5 — day 7, dose 1
Systemic reaction (other): At night
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Shortness of breath
Release 8 — day 35, dose 2
Symptoms: Not sure its related but Ive been having issues with my intestinal system. A lot of gas and more frequent bowel movements. I do have IBS but it was under control before the vaccines. Could be unrelated. Just thought I would report it.
Release 9 — 3 months, dose 2
Symptoms: Congestion, cough
Release 9 — 6 months, dose 2
Release 12 — day 21, dose 4
Symptoms: Headache
Release 12 — day 42, dose 4
Symptoms: Stomach issues. Cramps and loose bowel
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Broke out with cold sores on lip
Systemic reaction (other): Blisters on lip and inside mouth
Systemic reaction (other): Cold sores on lips and sores inside mouth
Release 12 — day 7, dose 5
Systemic reaction (other): Loose bowel, sores on lips, nostrils and mouth
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 pain upper | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Frequent bowel movements | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cheilitis | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Lip blister | · | · | ✓ |
| SRO | Nasal ulcer | · | · | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Oral mucosal blistering | · | · | ✓ |
| SRO | Stomatitis | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release