5A9-18707-96825
4 vaccinations
10 coded responses
38 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 631 / MO
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Pfizer-BioNTech
-
2021-02-07
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Pfizer-BioNTech
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Leg crampsMedDRA 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
- 2021-03-11
- 2021-03-18
- 2021-03-27
-
2021-04-01
Survey response — day 35, dose 2MedDRA: Abdominal pain upper — Feeling: FairFree text: I have often had a stomachache at night for several weeks. I dont know if it is related to the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-05-27
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Basal cell carcinoma, Intraductal papilloma of breast, Mastitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Basal cell cancer on my nose, a breast infection, and an intraductal papalloma · Healthcare visit (other): Doctors office, breast health center for imaging and biopsyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
-
2021-10-30
Survey response — day 35, dose 3MedDRA: Amnesia, Mental impairment, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Trouble remembering and problem solving. · Healthcare visit (other): Have an appointment with my doctor scheduledMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-03
- 2021-11-06
-
2021-12-25
Survey response — 3 months, dose 3MedDRA: Abdominal pain upper, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have had a stomach ache since last Sunday. I have also had headaches most days. · Healthcare visit (other): Saw my primary care physician. Have had an MRI of my brain.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-27
- 2022-03-27
-
2022-04-20
Dose 4 — Pfizer-BioNTech
-
2022-04-27
Survey response — day 7, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: I had brain fog after my first booster that I did not report at the time.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Survey response — day 14, dose 4MedDRA: Diarrhoea, Frequent bowel movements — Feeling: FairFree text: Now also have frequent and loose stools.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-18
-
2022-05-25
Survey response — day 35, dose 4MedDRA: Dysphonia, Oropharyngeal pain — Feeling: FairFree text: Sore throat,hoarsenessMedDRA releases: 2024-11 · check-in free text available
-
2022-06-01
Survey response — day 42, dose 4MedDRA: Arthralgia, Dysphonia, Oropharyngeal pain — Feeling: FairFree text: Sore throat, hoarse. Joints acheMedDRA releases: 2024-11 · check-in free text available
- 2022-07-20
- 2022-10-19
-
2023-04-22
Survey response — 12 months, dose 4MedDRA: Brain fog, Fatigue, Gastrointestinal disorder, Oesophageal disorder, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-22
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-25
- 2023-04-25
- 2023-04-25
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Leg cramps
Release 6 — day 35, dose 2
Symptoms: I have often had a stomachache at night for several weeks. I dont know if it is related to the vaccine or not.
Release 9 — 6 months, dose 2
Symptoms: Basal cell cancer on my nose, a breast infection, and an intraductal papalloma
Healthcare visit (other): Doctors office, breast health center for imaging and biopsy
Release 10 — day 35, dose 3
Symptoms: Trouble remembering and problem solving.
Healthcare visit (other): Have an appointment with my doctor scheduled
Release 10 — 3 months, dose 3
Symptoms: I have had a stomach ache since last Sunday. I have also had headaches most days.
Healthcare visit (other): Saw my primary care physician. Have had an MRI of my brain.
Release 11 — day 7, dose 4
Systemic reaction (other): I had brain fog after my first booster that I did not report at the time.
Release 11 — day 14, dose 4
Symptoms: Now also have frequent and loose stools.
Release 11 — day 35, dose 4
Symptoms: Sore throat,hoarseness
Release 11 — day 42, dose 4
Symptoms: Sore throat, hoarse. Joints ache
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 | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Basal cell carcinoma | ✓ | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Frequent bowel movements | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Intraductal papilloma of breast | ✓ | · | ✓ |
| SD | Mastitis | ✓ | · | ✓ |
| SD | Mental impairment | · | · | ✓ |
| SD | Oesophageal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release