5FN-23918-00402
4 vaccinations
4 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 981 / WA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2020-12-29
Registered in v-safe
- 2020-12-29
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-06
- 2021-01-13
-
2021-01-18
Dose 2 — Pfizer-BioNTech
- 2021-01-18
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-27
Survey response — day 7, dose 2MedDRA: Axillary pain, Nodule — Feeling: Fair · Fever · Muscle or body achesFree text: I feel like I have tenderness or soreness in my armpits I also now have a firm sore area, maybe a lump forming in my forearm, opposite the vaccinated arm. Not sure if any of this is related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-27
- 2021-03-01
- 2021-04-19
-
2021-07-19
Survey response — 6 months, dose 2MedDRA: Fatigue, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose and sinus congestion Friday July 16th, rapid covid test negative Saturday the 17th. Probably exhausted from work, healthcare worker hereMedDRA releases: 2024-11 · check-in free text available
-
2021-10-14
Dose 3 — Pfizer-BioNTech
-
2022-01-18
Survey response — 12 months, dose 2MedDRA: Arthralgia, Reaction to previous exposure to any vaccine — Feeling: Fair · 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: Shoulder pain since January of 2021. Started days after the first shot. Probably not specifically the covid vaccine, I tend to get frozen shoulder every time I get a vaccine in my shoulder.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Report sent to call center — 12 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)
- 2022-01-19
- 2022-01-21
- 2022-01-21
-
2022-04-07
Dose 4 — Moderna
-
2022-04-18
Survey response — day 7, dose 4MedDRA: Injection site bruising — Feeling: Good · Site: PainFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-06
- 2022-05-13
- 2022-05-19
- 2022-07-08
- 2022-10-08
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 7, dose 2
Systemic reaction (other): I feel like I have tenderness or soreness in my armpits I also now have a firm sore area, maybe a lump forming in my forearm, opposite the vaccinated arm. Not sure if any of this is related.
Release 9 — 6 months, dose 2
Symptoms: Runny nose and sinus congestion Friday July 16th, rapid covid test negative Saturday the 17th. Probably exhausted from work, healthcare worker here
Release 10 — 12 months, dose 2
Symptoms: Shoulder pain since January of 2021. Started days after the first shot. Probably not specifically the covid vaccine, I tend to get frozen shoulder every time I get a vaccine in my shoulder.
Release 11 — day 7, dose 4
Systemic reaction (other): Bruising at injection site
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 | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Nodule | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release