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3RR-10858-74965

5 vaccinations 8 coded responses 50 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
563 / MN
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
HX7-28584-99617 Child or adolescent in my care · Male · 2021-11-17

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling jittery — Feeling: Fair · Chills
    Free text: Jittery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: I am tired all of the time. No energy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Survey response — day 35, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: I just feel so tired all of the time now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: I am still very tired and do not have my normal energy. I have also been woken up with headaches in the middle of the night about 1 night weekly which is very unusual for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-29
    Survey response — 6 months, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: I am still experiencing headaches that I never had before my vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-16
    Dose 3 — Pfizer-BioNTech
  29. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Breast tenderness, Tenderness — Feeling: Good · Site: Pain
    Free text: Tenderness next to my breast and armpit area on same side of injection site
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  33. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-23
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  35. 2021-11-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-14
    Survey response — day 28, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: I am still having headaches in the middle of the night. These have been occuring since my 2nd Pfizer vaccines I am getting them 2-3 x per week.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-12-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-28
    Survey response — day 42, dose 3
    MedDRA: Headache, Sleep disorder — Feeling: Good
    Free text: I am still experiencing headaches 2-3 times weekly that wake me up in the middle of the night. They are always on the same side of my head on my left temple. This has been occurring since my second Pfizer vaccine, 9 months ago...
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-02-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-19
    Dose 4 — Pfizer-BioNTech
  43. 2022-05-19
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  44. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  45. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Chills, Muscle or body aches
    Adult check-in
  46. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  47. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  48. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  49. 2022-05-26
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-06-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-06-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-06-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-08-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-11-08
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  55. 2022-11-17
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-05-09
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech
22021-03-31Pfizer-BioNTech
32021-11-16Pfizer-BioNTech No
42022-05-19Pfizer-BioNTech No
52022-11-08Pfizer-BioNTech Flu

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Jittery

Release 7 — day 21, dose 2

2021-04-21

Symptoms: I am tired all of the time. No energy

Release 8 — day 35, dose 2

2021-05-05

Symptoms: I just feel so tired all of the time now

Release 8 — day 42, dose 2

2021-05-12

Symptoms: I am still very tired and do not have my normal energy. I have also been woken up with headaches in the middle of the night about 1 night weekly which is very unusual for me.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: I am still experiencing headaches that I never had before my vaccine.

Release 10 — days 1–6 daily, dose 3

2021-11-19

Systemic reaction (other): Tenderness next to my breast and armpit area on same side of injection site

Release 10 — day 28, dose 3

2021-12-14

Symptoms: I am still having headaches in the middle of the night. These have been occuring since my 2nd Pfizer vaccines I am getting them 2-3 x per week.

Release 10 — day 42, dose 3

2021-12-28

Symptoms: I am still experiencing headaches 2-3 times weekly that wake me up in the middle of the night. They are always on the same side of my head on my left temple. This has been occurring since my second Pfizer vaccine, 9 months ago...

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
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDSleep disorder · · ✓
SROBreast tenderness · · ✓
SROFeeling jittery ✓ ✓ ✓
SROTenderness · · ✓

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