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4GU-69265-27980

3 vaccinations 4 coded responses 26 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
838 / ID
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-12
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-19
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-26
    Survey response — day 7, dose 2
    MedDRA: Asthenopia, Eye irritation — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Heavy, tight feeling around my eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-05
    Survey response — day 14, dose 2
    MedDRA: Asthenopia, Fatigue, Office visit, Renal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Extreme fatigue, kidney pain (both sides)Eyes feel tight and heavy. I made an appointment with my provider today for next Weds the 10th · Healthcare visit (other): Have in office appt on the 10th with my nephrologist.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-05
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-21
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Fatigue · Healthcare visit (other): My nephrologist. I had a strong reaction to the second shot - went to bed for about 2 1/2 weeks. Was extremely fatigued. She believes I had Covid-19 in March of 2020. I never had a FEVER so I didn't think of being tested.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-21
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-13
    Dose 3 — Pfizer-BioNTech
  25. 2021-09-29
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-10-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-10-12
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-10-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-10-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-13
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-02-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  32. 2022-03-14
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-09-13
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Pfizer-BioNTech
22021-02-19Pfizer-BioNTech
32021-09-13Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Fatigue

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Heavy, tight feeling around my eyes

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Extreme fatigue, kidney pain (both sides)Eyes feel tight and heavy. I made an appointment with my provider today for next Weds the 10th
Healthcare visit (other): Have in office appt on the 10th with my nephrologist.

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Fatigue
Healthcare visit (other): My nephrologist. I had a strong reaction to the second shot - went to bed for about 2 1/2 weeks. Was extremely fatigued. She believes I had Covid-19 in March of 2020. I never had a FEVER so I didn't think of being tested.

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDAsthenopia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDRenal pain ✓ ✓ ✓
SROAsthenopia ✓ ✓ ✓
SROEye irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release