4T5-18225-21243
4 vaccinations
6 coded responses
43 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 483 / MI
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TH5-23714-38458
Child or adolescent in my care · Female · 2022-08-22
RKN-10672-06778
Child or adolescent in my care · Female · 2022-08-22
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-31
Dose 1 — Pfizer-BioNTech
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-06
- 2021-01-07
- 2021-01-14
- 2021-01-21
-
2021-01-22
Dose 2 — Pfizer-BioNTech
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-21
- 2021-02-26
- 2021-03-05
-
2021-04-23
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Dizziness, Headache — Feeling: FairFree text: Intermittent dizziness, episodes have been occurring daily for 4-6 weeks, and last 1-3 seconds at a time. Current diarrhea and headache as well. Onset today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-23
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: Pain, SwellingFree text: Soreness in armpit lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NauseaFree text: Sore armpit lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
-
2021-10-12
Survey response — day 14, dose 3MedDRA: Deafness unilateral, Dysphonia, Headache, Hypoacusis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Daily intermittent headaches, 2 episodes of left ear hearing loss. Hearing became muffled to the point that my voice sounded distorted. Hearing resolved within a few minutes.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion, fatigue, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-09-23
Dose 4 — Pfizer-BioNTech
-
2022-09-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Headache, Fatigue or tirednessAdult check-in
-
2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-10-28
Survey response — day 35, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Viral illness - sore throat, dry cough, fatigue, multiple negative COVID testsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get 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)
-
2022-11-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-06
- 2022-12-25
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — 3 months, dose 2
Symptoms: Intermittent dizziness, episodes have been occurring daily for 4-6 weeks, and last 1-3 seconds at a time. Current diarrhea and headache as well. Onset today.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness in armpit lymph nodes
Systemic reaction (other): Sore armpit lymph node
Release 10 — day 14, dose 3
Symptoms: Daily intermittent headaches, 2 episodes of left ear hearing loss. Hearing became muffled to the point that my voice sounded distorted. Hearing resolved within a few minutes.
Release 10 — 3 months, dose 3
Symptoms: Congestion, fatigue, cough
Release 12 — day 35, dose 4
Symptoms: Viral illness - sore throat, dry cough, fatigue, multiple negative COVID tests
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 | Cough | · | · | ✓ |
| SD | Deafness unilateral | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release