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3QW-26627-50089

2 vaccinations 3 coded responses 11 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
241 / VA
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-18
    Registered in v-safe
  3. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-01
    Dose 2 — Pfizer-BioNTech
  6. 2021-02-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-02-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-03
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Chills, Fatigue, Headache, Injection site rash, Nausea, Office visit, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Received TDAP vaccine 4/27 at PCP office as part of physical; developed low grade fever, chills, nausea, headache, rash on upper arm of injection site and back, back pain and generalized aching along with extreme fatigue. Symptoms lasted 3-4 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Adverse reaction, Cough, Discharge, Headache, Paranasal sinus discomfort, SARS-CoV-2 test, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Allergy/sinus symptoms - drainage, dry cough, sinus pressure, headache · Healthcare visit (other): Covid PCR test 8/4
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-04
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-11-22
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  16. 2022-02-01
    Survey response — 12 months, dose 2
    MedDRA: Chills, Cough, Headache, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good
    Free text: Body aches, Headache, Fever/Chills, Cough Positive COVID Test 1/12/22
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Pfizer-BioNTech
22021-02-01Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-03

Symptoms: Received TDAP vaccine 4/27 at PCP office as part of physical; developed low grade fever, chills, nausea, headache, rash on upper arm of injection site and back, back pain and generalized aching along with extreme fatigue. Symptoms lasted 3-4 days

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: Allergy/sinus symptoms - drainage, dry cough, sinus pressure, headache
Healthcare visit (other): Covid PCR test 8/4

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Body aches, Headache, Fever/Chills, Cough Positive COVID Test 1/12/22

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
HCVOSARS-CoV-2 test ✓ · ✓
SDAdverse reaction ✓ · ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ · ✓
SDDischarge ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParanasal sinus discomfort ✓ · ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSinus disorder ✓ · ✓

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