5AE-24218-54085
5 vaccinations
12 coded responses
52 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Pfizer-BioNTech
- 2021-03-20
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Under lots of pressure for other reasons so hard know if vaccine or this reason for being tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
-
2021-04-10
Dose 2 — Pfizer-BioNTech
- 2021-04-10
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
-
2021-10-15
Dose 3 — Pfizer-BioNTech
- 2021-10-15
-
2021-10-16
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Headache, Sluggishness, Somnolence — Feeling: Fair · Headache, Fatigue or tirednessFree text: Headache went away early in day. Definitely slowed down and tired, but not painful. Slept until almost noon, when typically up and running at 10am.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-19
- 2021-10-21
- 2021-10-22
-
2021-10-29
Survey response — day 14, dose 3MedDRA: Dry eye, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sure NOT connected, but Dry Eye worse even with Restasis so on 1 week of antibiotic eye dropsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2022-01-14
Survey response — 3 months, dose 3MedDRA: Fall, Headache, Ligament sprain, Office visit, Poor quality sleep, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Recovering from fall on ice where sprained both wrists 2+ weeks ago. Much better. Allergies giving a headache today & slept poorly, so taken ling nap. Feeling much better now. · Healthcare visit (other): PCP & X-Rays if wrists.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-18
-
2022-01-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-15
Survey response — 6 months, dose 3MedDRA: Diarrhoea, Fatigue, Loss of personal independence in daily activities — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had to reschedule dental appointment because some digestive (diarrhea) & more tired than normal. Within normal temperature rangethink possibly little lower than typical for me?MedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Dose 4 — Pfizer-BioNTech
- 2022-10-15
-
2022-10-27
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-27
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-30
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-11-02
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-17
- 2022-11-25
- 2022-12-01
- 2022-12-08
- 2023-01-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Pfizer-BioNTech | |
| 2 | 2021-04-10 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-05-26 | Pfizer-BioNTech | No |
| 5 | 2022-10-27 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Under lots of pressure for other reasons so hard know if vaccine or this reason for being tired
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache went away early in day. Definitely slowed down and tired, but not painful. Slept until almost noon, when typically up and running at 10am.
Release 10 — day 14, dose 3
Symptoms: Sure NOT connected, but Dry Eye worse even with Restasis so on 1 week of antibiotic eye drops
Release 10 — 3 months, dose 3
Symptoms: Recovering from fall on ice where sprained both wrists 2+ weeks ago. Much better. Allergies giving a headache today & slept poorly, so taken ling nap. Feeling much better now.
Healthcare visit (other): PCP & X-Rays if wrists.
Release 11 — 6 months, dose 3
Symptoms: Had to reschedule dental appointment because some digestive (diarrhea) & more tired than normal. Within normal temperature rangethink possibly little lower than typical for me?
Release 12 — day 0, dose 5
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Release 12 — day 7, dose 5
Systemic reaction (other): No
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 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Ligament sprain | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Sluggishness | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release