4AE-13642-36872
4 vaccinations
4 coded responses
41 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 993 / WA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Pfizer-BioNTech
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Pfizer-BioNTech
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sore throat, sure it is just a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — day 7, dose 2Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-10-05
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
- 2021-10-26
-
2021-11-02
Survey response — day 28, dose 3MedDRA: Asthenia, Back pain, Body temperature increased, Headache, Myalgia, Self-medication — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Great pain/ aches in all muscles. Headache. Sharp short pain in Left back, left side. all 6:09am today. aches worse now. Temp at 10 am was 99°. No energy.Took 325mg Tylenol,3 meds (80 mg aspirin, Losartan 50mg,bit.D) ok this morn. need to drink H2MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Survey response — day 35, dose 3MedDRA: Arthralgia, Back pain, Emergency care, Influenza virus test negative, Pneumonia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Diagnosed w pneumonia 7:30 am, nov.3, in Providence Hospital emergency room after ambulance ride to there. Severe 10+ back/Shoulder pain for ~1 hr. @6am caused me to have daughter call ambulance. Taking 2 antibiotics. Tested negative for covid, flu.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-10
-
2021-11-16
Survey response — day 42, dose 3MedDRA: Arthralgia, Back pain, Emergency care, Influenza virus test negative, Pain, Pneumonia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: November 3, diagnosed w pneumonia in upper left lobe. Had to go to hospital emergency room when extreme 10+ pain in left back shoulder I thought might be heart attack (instead it was referred pain from pneumonia). At hospital: negative for covId, fluMedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-17
- 2022-01-04
- 2022-04-05
-
2022-06-01
Dose 4 — Pfizer-BioNTech
- 2022-06-09
- 2022-06-15
- 2022-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Pfizer-BioNTech | |
| 2 | 2021-02-27 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | Flu |
| 4 | 2022-06-01 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, sure it is just a cold
Release 10 — day 28, dose 3
Symptoms: Great pain/ aches in all muscles. Headache. Sharp short pain in Left back, left side. all 6:09am today. aches worse now. Temp at 10 am was 99°. No energy.Took 325mg Tylenol,3 meds (80 mg aspirin, Losartan 50mg,bit.D) ok this morn. need to drink H2 cut off by CDC
Release 10 — day 35, dose 3
Symptoms: Diagnosed w pneumonia 7:30 am, nov.3, in Providence Hospital emergency room after ambulance ride to there. Severe 10+ back/Shoulder pain for ~1 hr. @6am caused me to have daughter call ambulance. Taking 2 antibiotics. Tested negative for covid, flu. cut off by CDC
Release 10 — day 42, dose 3
Symptoms: November 3, diagnosed w pneumonia in upper left lobe. Had to go to hospital emergency room when extreme 10+ pain in left back shoulder I thought might be heart attack (instead it was referred pain from pneumonia). At hospital: negative for covId, flu cut off by CDC
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 | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release