5D8-17037-97968
3 vaccinations
6 coded responses
24 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 986 / WA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I fell & injured my back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: Fair · Diarrhea · Be unable to do your normal daily activitiesFree text: Back still hurts from fall.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Intermittent Tingling in left foot, left hand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-11
- 2021-04-12
- 2021-04-15
- 2021-04-20
-
2021-04-27
Survey response — day 21, dose 2MedDRA: Electric shock sensation, Headache — Feeling: GoodFree text: Random headache that feels like getting zapped, it travels across my head, doesn't linger.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-08
-
2021-10-05
Survey response — 6 months, dose 2MedDRA: Intervertebral disc protrusion, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Slipped discs in my spine, not Covid related, just age. · Healthcare visit (other): MRIMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-08
- 2021-11-15
-
2022-01-24
Dose 3 — Moderna
- 2022-04-06
-
2022-07-25
Survey response — 6 months, dose 3MedDRA: Abdominal discomfort, Brain fog, Cough, Diarrhoea, Ear pain, Headache, Nausea, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Sneezing, Somnolence — Feeling: Good · 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: Tested Covid positive on July 13, 2022. GI upset, headaches, nausea, sore throat, cough, ear ache, diarrhea, brain fog, body aches. Giant forceful sneezes. Sleepy.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-25
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-26
- 2022-07-26
-
2022-07-26
Call successfulDoes not wish to fill out VAERS report
- 2023-01-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2022-01-24 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I fell & injured my back.
Release 6 — day 7, dose 1
Systemic reaction (other): Back still hurts from fall.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Intermittent Tingling in left foot, left hand.
Release 8 — day 21, dose 2
Symptoms: Random headache that feels like getting zapped, it travels across my head, doesn't linger.
Release 10 — 6 months, dose 2
Symptoms: Slipped discs in my spine, not Covid related, just age.
Healthcare visit (other): MRI
Release 12 — 6 months, dose 3
Symptoms: Tested Covid positive on July 13, 2022. GI upset, headaches, nausea, sore throat, cough, ear ache, diarrhea, brain fog, body aches. Giant forceful sneezes. Sleepy.
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Electric shock sensation | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release