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5AC-27006-03127

3 vaccinations 7 coded responses 31 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
524 / IA
Registered
2021-04-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-21
    Registered in v-safe
  3. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills
    Adult check-in
  6. 2021-04-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-05-08
    Dose 2 — Pfizer-BioNTech
  9. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral herpes — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Cold sore on upper lip, symptoms started yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-12-24
    Dose 3 — Pfizer-BioNTech
  23. 2021-12-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Dizziness, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Almost fainted 10 hours after vaccine, then started suddenly started to sweat profusely for 5 minutes, then chills again.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-12-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Erythema, Feeling cold, Flushing — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Face will get really flushed and bright red before I get the feeling of being really cold.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oedema peripheral, Tenderness — Feeling: Fair · Fatigue or tiredness
    Free text: Swelling under armpit on left side( injection side), but not as bad as yesterday. Tenderness
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  27. 2021-12-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-01-07
    Survey response — day 14, dose 3
    MedDRA: Cough, Dysphonia, Throat irritation — Feeling: Fair
    Free text: Just have a slighly hoarse voice and irritation in the throat, had a slight cough last night. But do not think it is related to the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-02-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-03-27
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Headache, Sluggishness — Feeling: Fair
    Free text: Tired/sluggish with frequent headaches.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-06-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-12-24
    Health check-in — 12 months, dose 3
    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 consultation
    Free text: Covid. Extremely tired and still get short of breath easy.
    Adult check-in · check-in free text available
  36. 2022-12-24
  37. 2022-12-28

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Pfizer-BioNTech
22021-05-08Pfizer-BioNTech
32021-12-24Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Shortness of breath

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Cold sore on upper lip, symptoms started yesterday.

Release 10 — days 1–6 daily, dose 3

2021-12-25

Systemic reaction (other): Almost fainted 10 hours after vaccine, then started suddenly started to sweat profusely for 5 minutes, then chills again.

2021-12-26

Systemic reaction (other): Face will get really flushed and bright red before I get the feeling of being really cold.

2021-12-28

Systemic reaction (other): Swelling under armpit on left side( injection side), but not as bad as yesterday. Tenderness

Release 10 — day 14, dose 3

2022-01-07

Symptoms: Just have a slighly hoarse voice and irritation in the throat, had a slight cough last night. But do not think it is related to the vaccine.

Release 11 — 3 months, dose 3

2022-03-27

Symptoms: Tired/sluggish with frequent headaches.

Release 12 — 12 months, dose 3

2022-12-24

Symptoms: Covid. Extremely tired and still get short of breath easy.

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDDysphonia · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDSluggishness · · ✓
SDThroat irritation · · ✓
SROChills · · ✓
SRODizziness · · ✓
SRODyspnoea ✓ ✓ ✓
SROErythema · · ✓
SROFeeling cold · · ✓
SROFlushing · · ✓
SROHyperhidrosis · · ✓
SROOedema peripheral · · ✓
SROOral herpes ✓ ✓ ✓
SROTenderness · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release