444-16192-18285
4 vaccinations
6 coded responses
39 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 837 / ID
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Pfizer-BioNTech
-
2021-03-27
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: GoodFree text: I was more tired than I anticipated yesterday and took a 20-minute nap at about 4:00 PM MT.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
-
2021-04-17
Dose 2 — Pfizer-BioNTech
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
-
2021-05-29
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Ive had a headache in a band over my ears and affecting my hearing just a little bit. This is unusual for me. It has lasted about three days, but is improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-17
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a nasty head cold.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-25
- 2021-10-16
-
2021-10-27
Dose 3 — Pfizer-BioNTech
- 2022-04-17
-
2022-04-29
Dose 4 — Moderna
-
2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Eye pain, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: My eyes hurt. On the day of the injection, my arm was more sore and I also got leg painMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Throat irritation — Feeling: Fair · Fatigue or tirednessFree text: Minor scratchy throat but likely not related to vaccinationMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
- 2022-10-28
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): No
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I was more tired than I anticipated yesterday and took a 20-minute nap at about 4:00 PM MT.
Release 8 — day 42, dose 2
Symptoms: Ive had a headache in a band over my ears and affecting my hearing just a little bit. This is unusual for me. It has lasted about three days, but is improving.
Release 9 — 3 months, dose 2
Symptoms: I had a nasty head cold.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My eyes hurt. On the day of the injection, my arm was more sore and I also got leg pain
Systemic reaction (other): Minor scratchy throat but likely not related to vaccination
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 | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release