4PU-12661-75073
5 vaccinations
7 coded responses
65 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 975 / OR
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-03-20
Registered in v-safe
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, ItchingFree text: I didnt feel 100 % my usual self today but I didnt feel any specific symptoms. Maybe just mild fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Atrial fibrillation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Atrial Fibrillation has been diagnosed · Healthcare visit (other): Scheduled visit with my primary care and potable monitorMedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-19
-
2021-11-12
Dose 3 — Pfizer-BioNTech
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, 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
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2021-12-10
Survey response — day 28, dose 3MedDRA: Muscular weakness, Pain, Pain in extremity — Feeling: GoodFree text: Arm that received vaccine is weak and has intermittent pain with use. This may be unrelated to the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2021-12-24
- 2022-02-11
-
2022-04-18
Dose 4 — Pfizer-BioNTechCo-administered: Pneumonia
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · 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
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
-
2022-05-02
Survey response — day 14, dose 4MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Urinary Tract InfectionMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-09
- 2022-05-16
-
2022-05-23
Survey response — day 35, dose 4MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: GoodFree text: Mild sore throat mostly in the evening. It went away when I started showering after being outdoors. I think it was allergies. I took 2 home Covid tests during that time and both were clearly negative. Also I had no fever.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-07-18
-
2022-09-21
Dose 5 — Pfizer-BioNTech
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 5MedDRA: Anaemia — Feeling: GoodFree text: AnemiaMedDRA releases: 2024-11 · check-in free text available
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2023-03-22
Survey response — 6 months, dose 5MedDRA: Anaemia, Chest pain, Colonoscopy abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-03-23
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | Pneumonia |
| 5 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt feel 100 % my usual self today but I didnt feel any specific symptoms. Maybe just mild fatigue.
Release 10 — 6 months, dose 2
Symptoms: Atrial Fibrillation has been diagnosed
Healthcare visit (other): Scheduled visit with my primary care and potable monitor
Release 10 — day 28, dose 3
Symptoms: Arm that received vaccine is weak and has intermittent pain with use. This may be unrelated to the vaccine
Release 11 — day 14, dose 4
Symptoms: Urinary Tract Infection
Release 11 — day 35, dose 4
Symptoms: Mild sore throat mostly in the evening. It went away when I started showering after being outdoors. I think it was allergies. I took 2 home Covid tests during that time and both were clearly negative. Also I had no fever.
Release 12 — 3 months, dose 5
Symptoms: Anemia
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 | Anaemia | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Colonoscopy abnormal | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release