5CR-28258-51205
4 vaccinations
9 coded responses
47 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Registered in v-safe
-
2021-03-28
Dose 1 — Pfizer-BioNTech
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity — Feeling: Good · NauseaFree text: Possible allergies. High tree pollens here.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
-
2021-04-18
Dose 2 — Pfizer-BioNTech
- 2021-04-18
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-05-02
Survey response — day 14, dose 2MedDRA: Rash, Rash erythematous, Rash papular, Rash pruritic — Feeling: GoodFree text: Growth/rash on back of upper arm. Not the arm I got the vaccine in. May be unrelated. Seeing dermatologist this week. Red, raised growth, about 1/2 diameter. Itchy and somewhat sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-18
-
2021-05-23
Survey response — day 35, dose 2MedDRA: Increased upper airway secretion, Self-medication — Feeling: GoodFree text: Lots of flem in my throat and sinus passages, even though Im on Zirtec and use Flonase. Pollen has been minimal here this past week, so not sure what is causing all this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
- 2021-07-20
- 2021-10-17
-
2021-10-22
Dose 3 — Pfizer-BioNTech
- 2021-10-22
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, DiarrheaAdult check-in
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Headache, Abdominal painAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-11-05
Survey response — day 14, dose 3MedDRA: Diarrhoea, Gastrointestinal pain — Feeling: GoodFree text: Diarrhea and pain in my gutMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Survey response — day 21, dose 3MedDRA: Cough, Headache, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose, scratchy throat, sneezing, occasional cough, mild headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
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2021-11-26
Survey response — day 35, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — day 42, dose 3MedDRA: Cough, Sinus pain, Sneezing, Throat irritation, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upper respiratory infection. Sinus pain, scratchy throat, sneezing, cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
-
2022-04-05
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
-
2022-07-05
Survey response — 3 months, dose 4MedDRA: Nasal congestion, Pre-existing disease — Feeling: FairFree text: Stuffy nose, probably from allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
-
2023-04-05
Survey response — 12 months, dose 4MedDRA: Diverticulitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2023-04-06
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | |
| 2 | 2021-04-18 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Possible allergies. High tree pollens here.
Release 8 — day 14, dose 2
Symptoms: Growth/rash on back of upper arm. Not the arm I got the vaccine in. May be unrelated. Seeing dermatologist this week. Red, raised growth, about 1/2 diameter. Itchy and somewhat sore.
Release 8 — day 35, dose 2
Symptoms: Lots of flem in my throat and sinus passages, even though Im on Zirtec and use Flonase. Pollen has been minimal here this past week, so not sure what is causing all this.
Release 10 — day 14, dose 3
Symptoms: Diarrhea and pain in my gut
Release 10 — day 21, dose 3
Symptoms: Runny nose, scratchy throat, sneezing, occasional cough, mild headache
Release 10 — day 35, dose 3
Symptoms: Runny nose
Release 10 — day 42, dose 3
Symptoms: Upper respiratory infection. Sinus pain, scratchy throat, sneezing, cough.
Release 12 — 3 months, dose 4
Symptoms: Stuffy nose, probably from allergies
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 | Diarrhoea | · | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased upper airway secretion | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release