4EM-10163-04485
5 vaccinations
8 coded responses
62 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-17
Registered in v-safe
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2021-04-17
Dose 1 — Pfizer-BioNTech
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2021-04-17
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
-
2021-04-24
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-01
-
2021-05-08
Dose 2 — Pfizer-BioNTech
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-22
-
2021-05-31
Survey response — day 21, dose 2MedDRA: Atrial flutter, Hyperventilation — Feeling: GoodFree text: Several times over the past week I have experience a fluttering sensation in the center of my chest and then a need for deep breaths. I am not assuming these are related to the vaccine but figured I would list it. I have never experienced beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-13
- 2021-06-19
- 2021-08-07
- 2021-11-06
-
2021-11-29
Dose 3 — Pfizer-BioNTech
- 2021-11-29
- 2021-11-30
- 2021-12-02
- 2021-12-04
- 2021-12-05
- 2021-12-06
-
2021-12-13
Survey response — day 14, dose 3MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
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2021-12-27
Survey response — day 28, dose 3MedDRA: Abdominal discomfort, Abdominal distension, Fatigue, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Upset stomach, feeling constantly full, headache, fatigue and achyMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-28
-
2021-12-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-03
-
2022-01-10
Survey response — day 42, dose 3MedDRA: Malaise — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The Covid symptoms went away after 8 days but seem to have come back a little the last few daysMedDRA releases: 2024-11 · check-in free text available
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2022-03-02
Survey response — 3 months, dose 3MedDRA: Abdominal pain upper — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Constant dull pain in upper right quadrantMedDRA releases: 2024-11 · check-in free text available
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2022-03-02
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-30
-
2022-07-19
Dose 4 — Pfizer-BioNTech
- 2022-07-19
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2022-07-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-07-21
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny nose and sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
- 2022-07-24
- 2022-07-25
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-18
- 2022-08-23
- 2022-08-30
-
2022-09-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-23
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2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-25
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-01
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2022-10-07
Survey response — day 14, dose 5MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive for CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-29
- 2022-11-04
- 2022-12-25
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-17 | Pfizer-BioNTech | |
| 2 | 2021-05-08 | Pfizer-BioNTech | |
| 3 | 2021-11-29 | Pfizer-BioNTech | No |
| 4 | 2022-07-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Several times over the past week I have experience a fluttering sensation in the center of my chest and then a need for deep breaths. I am not assuming these are related to the vaccine but figured I would list it. I have never experienced before
Release 10 — day 14, dose 3
Symptoms: Stuffy nose
Release 10 — day 28, dose 3
Symptoms: Upset stomach, feeling constantly full, headache, fatigue and achy
Release 10 — day 42, dose 3
Symptoms: The Covid symptoms went away after 8 days but seem to have come back a little the last few days
Release 11 — 3 months, dose 3
Symptoms: Constant dull pain in upper right quadrant
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose and sore throat
Systemic reaction (other): Sore throat and runny nose
Release 12 — day 14, dose 5
Symptoms: Positive for Covid
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal distension | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Atrial flutter | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperventilation | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release