4M5-12444-18953
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 310 / GA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-04-05
Dose 2 — Pfizer-BioNTech
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-03
Survey response — day 28, dose 2MedDRA: Cough, Diarrhoea, Dyspnoea, Fatigue, Headache, Nausea, Oropharyngeal pain, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough. Headache. Body aches. Sore throat. Shortness of breath. Fatigue. Nausea. Vomiting. Diarrhea. No fever though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
-
2021-07-05
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Rheumatoid arthritis, Walking aid user — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have rheumatoid arthritis that has worsened over the past few months, but has really gotten worse over the past few weeks. Just since yesterday, Ive been forced to start using a walker. Im pretty sure its not related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-05
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-03
Dose 3 — Pfizer-BioNTech
- 2021-10-04
- 2021-10-05
- 2021-10-08
-
2021-10-15
Survey response — day 42, dose 3MedDRA: Ageusia, Headache — Feeling: GoodFree text: Loss of taste and headache Sunday and Monday 10-10/11-2021MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2022-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-09-03 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 8 — day 28, dose 2
Symptoms: Cough. Headache. Body aches. Sore throat. Shortness of breath. Fatigue. Nausea. Vomiting. Diarrhea. No fever though.
Release 9 — 3 months, dose 2
Symptoms: I have rheumatoid arthritis that has worsened over the past few months, but has really gotten worse over the past few weeks. Just since yesterday, Ive been forced to start using a walker. Im pretty sure its not related to the vaccine.
Release 10 — day 42, dose 3
Symptoms: Loss of taste and headache Sunday and Monday 10-10/11-2021
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 | Ageusia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SD | Walking aid user | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release