4FR-12071-80251
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Headache, Fatigue or tirednessFree text: Very slight headache may not be from vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — day 7, dose 1MedDRA: Ear pain, Fatigue, Oropharyngeal pain, Sinus headache — Feeling: Good · HeadacheFree text: I forgot to let you know, the day of the shot i got a sinus headache, sore throat and earache after 10 minutes. Very tired the next day. Took sick day from work and slept all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-07
- 2021-05-12
- 2021-05-18
- 2021-07-06
- 2021-10-06
-
2022-04-06
Survey response — 12 months, dose 2MedDRA: Office visit, Pain in extremity — Feeling: GoodFree text: My right upper arm aches still. And it has spread to where the arm meets the chest. My doctor checked this out at my annual appointment in February and said this is a not uncommon side effect. The right arm had the first shot and booster shots.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Very slight headache may not be from vaccine
Release 6 — day 7, dose 1
Systemic reaction (other): I forgot to let you know, the day of the shot i got a sinus headache, sore throat and earache after 10 minutes. Very tired the next day. Took sick day from work and slept all day.
Release 11 — 12 months, dose 2
Symptoms: My right upper arm aches still. And it has spread to where the arm meets the chest. My doctor checked this out at my annual appointment in February and said this is a not uncommon side effect. The right arm had the first shot and booster shots.
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 | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release