3QM-63528-45929
5 vaccinations
7 coded responses
59 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 975 / OR
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-06
Dose 1 — Pfizer-BioNTech
-
2021-05-07
Registered in v-safe
- 2021-05-07
- 2021-05-08
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-05-28
Dose 2 — Pfizer-BioNTech
-
2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Diarrhoea, Headache, Hyperhidrosis, Malaise, Vomiting, Weight decreased — Feeling: Fair · Fatigue or tirednessFree text: 9 hrs after the shot, I had 4 bouts of vomiting, a complete bowel emptying, sweating, chills, headache, achy hips, and spent the better part of the next 2 days in bed. There was 1 more bout of vomiting 32 hrs after the shot and diarrhea 98 hours after the shot. Still feeling fragile. I lost 2.5 lbs from 115.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-08-27
- 2021-11-26
-
2022-01-13
Dose 3 — Pfizer-BioNTech
-
2022-01-14
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: shooting pains top right side of headMedDRA releases: 2024-11 · check-in free text available
- 2022-01-15
-
2022-01-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-17
Survey response — days 1–6 daily, dose 3MedDRA: Nausea, Pyrexia — Feeling: Good · Fever · NauseaFree text: Nausea and fever were overnight after my last report. I seemed to have a relapse day Sunday 1/16, but have been feeling much better again today.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-04-14
-
2022-05-26
Dose 4 — Pfizer-BioNTech
-
2022-05-26
Survey response — day 0, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Vaccine has been onboard for only 2 hoursMedDRA releases: 2024-11 · check-in free text available
-
2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-28
- 2022-05-29
-
2022-05-30
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · NauseaFree text: Arm pain returned, but came in waves instead of being constantMedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
-
2022-06-30
Survey response — day 35, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
- 2022-08-25
- 2022-11-24
-
2022-12-20
Dose 5 — Moderna
- 2022-12-20
-
2022-12-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-12-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-12-23
Survey response — days 1–6 daily, dose 5MedDRA: Rash, Rash pruritic, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: very mild itchy rash front left ribs area. I also had a rash there after the Shringrix vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-24
- 2022-12-25
- 2022-12-26
- 2022-12-27
- 2023-01-03
- 2023-01-10
- 2023-01-17
- 2023-01-25
- 2023-01-31
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-06 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech | |
| 3 | 2022-01-13 | Pfizer-BioNTech | No |
| 4 | 2022-05-26 | Pfizer-BioNTech | No |
| 5 | 2022-12-20 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): 9 hrs after the shot, I had 4 bouts of vomiting, a complete bowel emptying, sweating, chills, headache, achy hips, and spent the better part of the next 2 days in bed. There was 1 more bout of vomiting 32 hrs after the shot and diarrhea 98 hours after the shot. Still feeling fragile. I lost 2.5 lbs from 115.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): shooting pains top right side of head
Systemic reaction (other): Nausea and fever were overnight after my last report. I seemed to have a relapse day Sunday 1/16, but have been feeling much better again today.
Release 11 — day 0, dose 4
Systemic reaction (other): Vaccine has been onboard for only 2 hours
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Arm pain returned, but came in waves instead of being constant
Release 12 — day 35, dose 4
Symptoms: Fatigue
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): very mild itchy rash front left ribs area. I also had a rash there after the Shringrix vaccine.
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 |
|---|---|---|---|---|
| SD | Fatigue | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
| SRO | Weight decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release