4QX-57254-48595
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 551 / MN
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster — Feeling: Fair · Chills, Headache, Fatigue or tiredness, NauseaFree text: As my luck would have it, I started to break out in shingles yesterday. Went to doctor today. So symptoms may be related to shingles, rather than vaccinations.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
-
2021-05-18
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: Had a headache for 3 days in a row. Not sure if it was vaccine-related, or sinus or allergies. That started 3 days after my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: COVID-19, Malaise, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had covid. The sickest I've ever been in my life. Received your letter but way after I could have used your help. Called you and left a message. Call was never returned? · Healthcare visit (other): Went for my yearly physical 1 1/2 wks into covid. Found out it was covid, which I did not realize.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-05
-
2021-11-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): As my luck would have it, I started to break out in shingles yesterday. Went to doctor today. So symptoms may be related to shingles, rather than vaccinations.
Release 8 — day 14, dose 2
Symptoms: Had a headache for 3 days in a row. Not sure if it was vaccine-related, or sinus or allergies. That started 3 days after my second shot.
Release 10 — 6 months, dose 2
Symptoms: I had covid. The sickest I've ever been in my life. Received your letter but way after I could have used your help. Called you and left a message. Call was never returned?
Healthcare visit (other): Went for my yearly physical 1 1/2 wks into covid. Found out it was covid, which I did not realize.
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 | COVID-19 | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release