4RF-95785-30518
5 vaccinations
12 coded responses
60 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 371 / TN
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
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2021-02-26
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Headache, NauseaAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Slight headache when I woke up but other than that feel back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
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2021-03-19
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, VomitingFree text: Dizzy after one half hour of receiving vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Abdominal painAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
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2021-04-30
Survey response — day 42, dose 2MedDRA: Anosmia, Body temperature decreased, Hypersensitivity, Pre-existing disease, Sinus disorder, Sneezing — Feeling: FairFree text: I am having a bad allergy time and I am not coughing. It is all sinus and this morningI had trouble with loss of smell but came back after I was up for awhile. My temp was 96.1 this morning and I feel okay except for my nose with sneezing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — 3 months, dose 2MedDRA: Anosmia, Cough, Pyrexia — Feeling: GoodFree text: About six weeks ago I experienced lose of smell for about two days, slight fever one day and a bad cough for one day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-17
-
2021-09-28
Dose 3 — Pfizer-BioNTech
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fever that lasted all day the second dayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-11
- 2021-12-28
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2022-03-29
Survey response — 6 months, dose 3MedDRA: COVID-19, Nasopharyngitis — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Had Covid and felt like a bad cold.MedDRA releases: 2024-11 · check-in free text available
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2022-03-29
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-30
Call successfulDoes not wish to fill out VAERS report
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2022-05-25
Dose 4 — Moderna
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2022-05-25
Survey response — day 0, dose 4MedDRA: Facial discomfort, Oral discomfort — Feeling: Fair · Fever · Fatigue or tirednessFree text: Always get a weird feeling in my face and lipsMedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Leg crampsMedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms — Feeling: Good · Site: PainFree text: Had lots of muscle cramps yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-07-02
- 2022-07-06
- 2022-08-24
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2022-10-12
Dose 5 — Moderna
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2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Much less severe then the others Covid vaccinesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
- 2022-10-18
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2022-10-19
Survey response — day 7, dose 5MedDRA: Adverse reaction — Feeling: FairFree text: Feels like allergies and got flu shot todayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-11-02
- 2022-11-11
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2022-11-16
Survey response — day 35, dose 5MedDRA: Adverse reaction, Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: GoodFree text: Felt like a allergy attack and was concerned because a family member had Covid very recently but did test and I am negative and so is that family memberMedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-25 | Moderna | No |
| 5 | 2022-10-12 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Slight headache when I woke up but other than that feel back to normal
Release 6 — day 0, dose 2
Systemic reaction (other): Dizzy after one half hour of receiving vaccine
Release 8 — day 42, dose 2
Symptoms: I am having a bad allergy time and I am not coughing. It is all sinus and this morningI had trouble with loss of smell but came back after I was up for awhile. My temp was 96.1 this morning and I feel okay except for my nose with sneezing.
Release 9 — 3 months, dose 2
Symptoms: About six weeks ago I experienced lose of smell for about two days, slight fever one day and a bad cough for one day.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Fever that lasted all day the second day
Release 11 — 6 months, dose 3
Symptoms: Had Covid and felt like a bad cold.
Release 11 — day 0, dose 4
Systemic reaction (other): Always get a weird feeling in my face and lips
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Leg cramps
Systemic reaction (other): Had lots of muscle cramps yesterday
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Much less severe then the others Covid vaccines
Release 12 — day 7, dose 5
Systemic reaction (other): Feels like allergies and got flu shot today
Release 12 — day 35, dose 5
Symptoms: Felt like a allergy attack and was concerned because a family member had Covid very recently but did test and I am negative and so is that family member
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 | Adverse reaction | · | · | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Body temperature decreased | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ○ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Facial discomfort | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Oral discomfort | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release