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4M9-19983-57256

3 vaccinations 6 coded responses 22 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
530 / WI
Registered
2020-12-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-21
    Registered in v-safe
  2. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue, Pain, Pyrexia, Self-medication — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: 24 hours after vaccine I developed low grade fever, chills, body aches, fatigue. Took ibuprofen, and sx lasted 0 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-04
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling abnormal, Hyperhidrosis, Pain, Pre-existing disease, Pyrexia, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free text: Survey wasn't sent 24-48 hrs post inj. I experienced fatigue, low grade fever, body aches, brain fog (like when I had Covid 5 wks earlier.) Took Motrin, went to bed. Awoke 6 hrs later soaking wet in sweat, feeling completely fine. Nothing since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-04
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  9. 2021-01-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Reaction to previous exposure to any vaccine — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: I had absolutely no symptoms at all after the second injection, but I had Covid mid-November. I feel the sx I had after the first injection were comparable to that of the “booster” or second injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-01-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-01-29
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-10
    Dose 3 — Pfizer-BioNTech
  20. 2021-09-28
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-10-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-10-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-10-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-12
    Survey response — 3 months, dose 3
    MedDRA: Abdominal pain, Back pain, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Abd pain, upper back pain, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-12
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  27. 2021-12-15
  28. 2022-03-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-09-11
    Survey response — 12 months, dose 3
    MedDRA: Chills, Laboratory test abnormal — Feeling: Good · Be unable to work or attend school
    Free text: Chills 8/9/22. Home test + on 8/10/22.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-08Pfizer-BioNTech
32021-09-10Pfizer-BioNTech No

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): 24 hours after vaccine I developed low grade fever, chills, body aches, fatigue. Took ibuprofen, and sx lasted 0 hours.

Release 1 — day 14, dose 1

2021-01-04

Symptoms: Survey wasn't sent 24-48 hrs post inj. I experienced fatigue, low grade fever, body aches, brain fog (like when I had Covid 5 wks earlier.) Took Motrin, went to bed. Awoke 6 hrs later soaking wet in sweat, feeling completely fine. Nothing since.

Release 1 — days 1–6 daily, dose 2

2021-01-11

Systemic reaction (other): I had absolutely no symptoms at all after the second injection, but I had Covid mid-November. I feel the sx I had after the first injection were comparable to that of the “booster” or second injection.

Release 3 — day 21, dose 2

2021-01-29

Symptoms: Fatigue

Release 10 — 3 months, dose 3

2021-12-12

Symptoms: Abd pain, upper back pain, fatigue

Release 12 — 12 months, dose 3

2022-09-11

Symptoms: Chills 8/9/22. Home test + on 8/10/22.

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
SDAbdominal pain · · ✓
SDBack pain · · ✓
SDChills · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDLaboratory test abnormal · · ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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

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