4ZQ-11360-49277
3 vaccinations
9 coded responses
37 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Pfizer-BioNTech
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2021-03-06
Registered in v-safe
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Fatigue — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Dry mouth during evening meal. Especially tired at 6 pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: Fair · Fatigue or tirednessFree text: The dry mouth continues. Trying to drink lots of electrolytesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: Good · Joint pains, Muscle or body achesFree text: Still having dry mouth especially right before lunch and evening meal. Less than first days but noticeable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: GoodFree text: Still feeling thirsty more often than normal but better than the first daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 1MedDRA: Hot flush, Insomnia — Feeling: FairFree text: Ive had hot flashes some during the day but most at night waking me. This happened 4 different night this week. Im 60 and long past hot flashes. Wondering if this might be a side effect.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Some insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-05-01
- 2021-05-07
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2021-06-25
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Gastric disorder, Pre-existing disease — Feeling: Fair · 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 have had a terrible bout with stomach issues. To the point that I want to see my dr. After a few basic tests blood work and X-rays there were no concerns. Im very concerned that mild symptoms in the past will now become a bigger problem possibly · Healthcare visit (other): I am concerned that the vaccine might have triggered major I b s issues greater than Ive experienced in the pastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-25
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
- 2021-09-26
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2021-11-19
Dose 3 — Moderna
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-18
- 2021-12-26
- 2021-12-31
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2022-02-18
Survey response — 3 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Feeling abnormal, Poor quality sleep, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I contracted covid on January 27. Fever, serious congestion, fatigue and poor sleep. Cough and generally felt poorlyMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — 6 months, dose 3MedDRA: Asthenia, Decreased appetite, Nasal congestion, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stuffy head. Not able to breath through nose at all. Fever for 3 days. No energy or appetite. Low energy for 2-3 weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-11-19 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth during evening meal. Especially tired at 6 pm
Systemic reaction (other): The dry mouth continues. Trying to drink lots of electrolytes
Systemic reaction (other): Still having dry mouth especially right before lunch and evening meal. Less than first days but noticeable.
Systemic reaction (other): Still feeling thirsty more often than normal but better than the first days
Release 5 — day 14, dose 1
Symptoms: Ive had hot flashes some during the day but most at night waking me. This happened 4 different night this week. Im 60 and long past hot flashes. Wondering if this might be a side effect.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Some insomnia
Release 9 — 3 months, dose 2
Symptoms: I have had a terrible bout with stomach issues. To the point that I want to see my dr. After a few basic tests blood work and X-rays there were no concerns. Im very concerned that mild symptoms in the past will now become a bigger problem possibly
Healthcare visit (other): I am concerned that the vaccine might have triggered major I b s issues greater than Ive experienced in the past
Release 11 — 3 months, dose 3
Symptoms: I contracted covid on January 27. Fever, serious congestion, fatigue and poor sleep. Cough and generally felt poorly
Release 11 — 6 months, dose 3
Symptoms: Stuffy head. Not able to breath through nose at all. Fever for 3 days. No energy or appetite. Low energy for 2-3 weeks
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 | Condition aggravated | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release