42E-29404-81537
5 vaccinations
6 coded responses
51 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 805 / CO
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Registered in v-safe
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · HeadacheFree text: Having unusual trouble sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Sleep disorder — Feeling: Good · HeadacheFree text: Could not sleep much. UnusualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-26
-
2021-02-01
Dose 2 — Pfizer-BioNTech
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-24
- 2021-03-02
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-10-02
Dose 3 — Pfizer-BioNTech
- 2021-10-02
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia, Vaccine positive rechallenge — Feeling: Fair · HeadacheFree text: Last shot and this one could not sleep the first night. Only able to sleep about 3 hours.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2022-01-01
- 2022-04-02
-
2022-05-26
Dose 4 — Pfizer-BioNTech
-
2022-06-02
Survey response — day 7, dose 4MedDRA: Insomnia, Muscle spasms, Pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: The day I got the shot, may 26, I couldn't sleep that night. Also I had small localized cramps and stinging sensation with them in arms and legs.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-08-25
-
2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-10-03
- 2022-10-07
- 2022-10-14
-
2022-10-21
Survey response — day 28, dose 5MedDRA: Balance disorder, COVID-19, Confusional state, Epistaxis, Headache, Influenza like illness, Parosmia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I got Covid. Tested positive a week ago. Like flu with very bad headaches. Confusion, balance difficulty, phantom smells, bloody noseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
-
2022-12-23
Survey response — 3 months, dose 5MedDRA: Hip surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Hip surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-12-23
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-12-27
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
| 4 | 2022-05-26 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Having unusual trouble sleeping
Systemic reaction (other): Could not sleep much. Unusual
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Last shot and this one could not sleep the first night. Only able to sleep about 3 hours.
Release 11 — day 7, dose 4
Systemic reaction (other): The day I got the shot, may 26, I couldn't sleep that night. Also I had small localized cramps and stinging sensation with them in arms and legs.
Release 12 — day 28, dose 5
Symptoms: I got Covid. Tested positive a week ago. Like flu with very bad headaches. Confusion, balance difficulty, phantom smells, bloody nose
Release 12 — 3 months, dose 5
Symptoms: Hip surgery
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 | Balance disorder | · | · | ✓ |
| SD | Confusional state | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hip surgery | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Parosmia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release