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3WA-23568-22801

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 1 call case
Sex
—
Age at first dose
61-65
ZIP prefix
967 / HI
Registered
2021-05-27
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-25
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-27
    Registered in v-safe
  4. 2021-05-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Headache
    Free text: on the day after the second shot, I was very tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  6. 2021-05-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Depressed mood — Feeling: Fair · Headache
    Free text: a little sad.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: just a slight headache. it went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-06-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-06-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-16
    Survey response — day 21, dose 2
    MedDRA: Hypersensitivity, Iodine allergy, Medical counselling, Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Allergic reaction to Iodine Tincture topically. I never had allergy to iodine before. Developed Rash as a result, being treated by doctor. Nothing else r manifested; sensitive all around; arm still very minimally sore, after second covid vaccine. · Healthcare visit (other): I called Poison Control hotline.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-16
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-22
    Survey response — day 28, dose 2
    MedDRA: Ear congestion, Headache, Sinus congestion — Feeling: Fair
    Free text: Headache upon waking, sinus and ear congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-24
  15. 2021-06-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-29
  17. 2021-07-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-23
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-04Pfizer-BioNTech
22021-05-25Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-27

Systemic reaction (other): on the day after the second shot, I was very tired.

2021-05-29

Systemic reaction (other): a little sad.

2021-05-30

Systemic reaction (other): just a slight headache. it went away.

Release 9 — day 21, dose 2

2021-06-16

Symptoms: Allergic reaction to Iodine Tincture topically. I never had allergy to iodine before. Developed Rash as a result, being treated by doctor. Nothing else r manifested; sensitive all around; arm still very minimally sore, after second covid vaccine.
Healthcare visit (other): I called Poison Control hotline.

Release 9 — day 28, dose 2

2021-06-22

Symptoms: Headache upon waking, sinus and ear congestion.

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
HCVOMedical counselling ✓ ✓ ✓
SDEar congestion ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDIodine allergy ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSinus congestion ✓ ✓ ✓
SRODepressed mood ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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