4NN-30340-47701
4 vaccinations
7 coded responses
47 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 622 / IL
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Pfizer-BioNTech
-
2021-02-11
Registered in v-safe
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-04
Dose 2 — Pfizer-BioNTech
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 35, dose 2MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Allergy flair upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Pain, SwellingFree text: A very slight headache but not enough to need any pain meds.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: PainFree text: Could be the weather but I have a slight headache. Not bad enough to take any medicine.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
-
2021-11-11
Survey response — day 42, dose 3MedDRA: Cough, Crying, Discomfort, Office visit, Pain in jaw, Sinus headache, Tenderness, Toothache — 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: Symptoms: I think I have a sinus infection. Symptoms: Sinus type headache, top jaw and teeth pressure pain, tenderness to the face and head, weeping eyes and a cough. · Healthcare visit (other): Was with my primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — day 42, 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)
- 2021-11-15
- 2021-11-16
-
2021-11-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-30
Survey response — 3 months, dose 3MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Cough and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Cough, Nasopharyngitis, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Had had several colds. Seems I get a cold with a cough every three weeks. · Healthcare visit (other): Went also to my PC doctor.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-05
-
2022-05-16
Dose 4 — Pfizer-BioNTech
- 2022-05-16
-
2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Myalgia, Pain in extremity — Feeling: Good · Site: PainFree text: Yesterday I forgot to check in.I had been very tired. The night of my vaccination my muscles ached some and my arm hurt.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-08-15
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Pfizer-BioNTech | |
| 2 | 2021-03-04 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-05-16 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 7 — day 35, dose 2
Symptoms: Allergy flair up
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): A very slight headache but not enough to need any pain meds.
Systemic reaction (other): Could be the weather but I have a slight headache. Not bad enough to take any medicine.
Release 10 — day 42, dose 3
Symptoms: I think I have a sinus infection. Symptoms: Sinus type headache, top jaw and teeth pressure pain, tenderness to the face and head, weeping eyes and a cough.
Healthcare visit (other): Was with my primary care physician
Release 10 — 3 months, dose 3
Symptoms: Cough and runny nose
Release 11 — 6 months, dose 3
Symptoms: Had had several colds. Seems I get a cold with a cough every three weeks.
Healthcare visit (other): Went also to my PC doctor.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday I forgot to check in.I had been very tired. The night of my vaccination my muscles ached some and my arm hurt.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Crying | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release