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42Y-11849-88102

5 vaccinations 9 coded responses 46 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
972 / OR
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-07
    Survey response — day 14, dose 2
    MedDRA: Nasal congestion — Feeling: Fair
    Free text: Seasonal allergies, I think. Some nasal congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-28
    Survey response — day 35, dose 2
    MedDRA: Joint stiffness, Musculoskeletal stiffness, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had a mild sore throat on Monday, along with hip and knee stiffness. I rested and felt fine the next day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-05
    Survey response — day 42, dose 2
    MedDRA: Abdominal discomfort — Feeling: Good · Be unable to do your normal daily activities
    Free text: Upset stomach on Sunday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-24
    Dose 3 — Pfizer-BioNTech
  20. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain — Feeling: Good · Headache
    Free text: I did have a lot of pain the night and day after I got the shot, but not now.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-01
    Health check-in — day 7, dose 3
    Feeling: Good · Headache
    Adult check-in
  22. 2021-10-08
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Feeling abnormal, Headache — Feeling: Fair
    Free text: I woke up with a headache and feel a little off today. Tired.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-10-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-10-29
    Survey response — day 35, dose 3
    MedDRA: Fatigue, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Mild sore throat, queasy, tired.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-24
    Survey response — 3 months, dose 3
    MedDRA: Fall, Humerus fracture, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: I fell and fractured my humerus. I have an orthopedic appt 12/27/2021 and they require a PCR Covid test, which I got today. I don't know the results yet.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-24
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-12-27
  30. 2021-12-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2022-03-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-01
    Dose 4 — Pfizer-BioNTech
  33. 2022-04-14
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-04-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-07-01
    Survey response — 3 months, dose 4
    MedDRA: Cough, Decreased appetite, Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, dry cough, and decreased appetite. It lasted just a couple of days and then I was fine. I home-tested 3 times and all were negative.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-09-21
    Dose 5 — Pfizer-BioNTech
  41. 2022-09-21
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  42. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  43. 2022-09-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  44. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  45. 2022-09-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  46. 2022-09-26
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  47. 2022-09-27
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  48. 2022-09-28
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  49. 2022-10-05
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-12
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-19
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-10-26
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  53. 2022-11-02
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-12-21
    Survey response — 3 months, dose 5
    MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Good
    Free text: Nausea, vomiting, diarrhea during the night. No fever.
    MedDRA releases: 2024-11 · check-in free text available
  55. 2023-03-22
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Pfizer-BioNTech
22021-03-24Pfizer-BioNTech
32021-09-24Pfizer-BioNTech No
42022-04-01Pfizer-BioNTech No
52022-09-21Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-07

Symptoms: Seasonal allergies, I think. Some nasal congestion.

Release 8 — day 35, dose 2

2021-04-28

Symptoms: I had a mild sore throat on Monday, along with hip and knee stiffness. I rested and felt fine the next day.

Release 8 — day 42, dose 2

2021-05-05

Symptoms: Upset stomach on Sunday.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): I did have a lot of pain the night and day after I got the shot, but not now.

Release 10 — day 14, dose 3

2021-10-08

Symptoms: I woke up with a headache and feel a little off today. Tired.

Release 10 — day 35, dose 3

2021-10-29

Symptoms: Mild sore throat, queasy, tired.

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: I fell and fractured my humerus. I have an orthopedic appt 12/27/2021 and they require a PCR Covid test, which I got today. I don't know the results yet.

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Headache, dry cough, and decreased appetite. It lasted just a couple of days and then I was fine. I home-tested 3 times and all were negative.

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Nausea, vomiting, diarrhea during the night. No fever.

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
SDAbdominal discomfort ✓ ✓ ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDDiarrhoea · · ✓
SDFall · · ✓
SDFatigue · · ✓
SDFeeling abnormal · · ✓
SDHeadache · · ✓
SDHumerus fracture · · ✓
SDJoint stiffness ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNausea · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDSARS-CoV-2 test · · ✓
SDVomiting · · ✓
SROPain · · ✓

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