5FM-33496-09032
4 vaccinations
6 coded responses
34 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 142 / NY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Head discomfort, Malaise — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Didnt feel well yesterday evening, my head felt different and I had a feeling of exhaustion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Pfizer-BioNTech
-
2021-03-24
Survey response — day 0, dose 2MedDRA: Nervousness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Felt a little shaky afterwardsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain, Swelling · Chills, Abdominal pain · Be unable to do your normal daily activitiesFree text: Severe stomach crampingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2021-10-09
Dose 3 — Pfizer-BioNTech
- 2022-03-24
-
2022-04-12
Dose 4 — Pfizer-BioNTech
-
2022-04-24
Survey response — day 7, dose 4MedDRA: Headache, Pain in extremity — Feeling: Good · Site: PainFree text: Pain in arm and a headache after the 3rd dose, and just pain in my arm for the 4thMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-03
-
2022-05-10
Survey response — day 28, dose 4MedDRA: Secretion discharge, Sinus congestion, Throat irritation — Feeling: FairFree text: Scratchy throat, sinus congestion, mucusMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-24
-
2022-07-12
Survey response — 3 months, dose 4MedDRA: Adverse reaction, Office visit, Rhinorrhoea, Sinusitis, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I started sneezing and blowing my nose for about 2weeks like I had allergies, but I never had them before, and then it turned into a sinus infection · Healthcare visit (other): My primary doctors officeMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-13
- 2022-07-14
-
2022-07-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-11
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Didnt feel well yesterday evening, my head felt different and I had a feeling of exhaustion.
Release 6 — day 0, dose 2
Systemic reaction (other): Felt a little shaky afterwards
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Severe stomach cramping
Release 11 — day 7, dose 4
Systemic reaction (other): Pain in arm and a headache after the 3rd dose, and just pain in my arm for the 4th
Release 11 — day 28, dose 4
Symptoms: Scratchy throat, sinus congestion, mucus
Release 12 — 3 months, dose 4
Symptoms: I started sneezing and blowing my nose for about 2weeks like I had allergies, but I never had them before, and then it turned into a sinus infection
Healthcare visit (other): My primary doctors office
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 | Adverse reaction | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release