444-16362-53043
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 229 / VA
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
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2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2020-12-28
- 2020-12-29
- 2021-01-06
-
2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-12
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-15
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2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Getting better. Might have been moderate yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-19
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: Finally day 7 feel more normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — day 14, dose 2MedDRA: Medical counselling, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection not related to vaccine · Healthcare visit (other): Clinic physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-02
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2021-02-11
Survey response — day 28, dose 2MedDRA: Fatigue, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Worsening sinus infection. On second round of antibiotic sOngoing fatigue since second vaccine but may be due to sinus infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-16
- 2021-02-23
- 2021-04-10
- 2021-04-13
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2021-07-13
Survey response — 6 months, dose 2MedDRA: Mycobacterium avium complex infection, Nephrolithiasis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: kidney stone increased in sizeCt scan shows some changes with prior history of Mycobacterium avium · Healthcare visit (other): Ct scan and renal us. Surgery for kidney stone scheduledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-20
- 2022-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Getting better. Might have been moderate yesterday
Release 2 — day 7, dose 2
Systemic reaction (other): Finally day 7 feel more normal
Release 2 — day 14, dose 2
Symptoms: Sinus infection not related to vaccine
Healthcare visit (other): Clinic physician
Release 4 — day 28, dose 2
Symptoms: Worsening sinus infection. On second round of antibiotic sOngoing fatigue since second vaccine but may be due to sinus infection
Release 9 — 6 months, dose 2
Symptoms: kidney stone increased in sizeCt scan shows some changes with prior history of Mycobacterium avium
Healthcare visit (other): Ct scan and renal us. Surgery for kidney stone scheduled
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Mycobacterium avium complex infection | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release