5G4-28990-97447
5 vaccinations
10 coded responses
58 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Tenderness — Feeling: Good · HeadacheFree text: mild tenderness, not pain, at injection site. also muscle stiffness in that armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: for yesterday i forgot to report light headedness and some minor unsteadiness. none of this todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-04-13
Dose 2 — Pfizer-BioNTech
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2021-04-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
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2021-10-12
Survey response — 6 months, dose 2MedDRA: Cholelithiasis, Constipation, Fatigue, Gallbladder operation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Gallstones and gallbladder surgery. Constipation. Fatigue.MedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-18
Health check-in — day 0, dose 3Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-19
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Good · Site: Swelling · Fever · Fatigue or tirednessFree text: Early this am about 130, my fever broke and i felt better. Please note that i had the flu vaccine at the same time as the pfizer boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-22
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2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-24
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
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2022-01-17
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea, Secretion discharge, 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: Cough with mucus. Mild sore throat. Runny nose. Fatigue · Healthcare visit (other): PCR test as well as a home testMedDRA releases: 2024-11 · check-in free text available
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2022-01-17
Report sent to call center — 3 months, dose 3Be 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)
- 2022-01-18
- 2022-01-24
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2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-18
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2022-04-28
Dose 4 — Moderna
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bruising at injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Bruising, redness at injection site.MedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still have a sizable bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-05-03
- 2022-05-04
- 2022-05-07
- 2022-05-12
- 2022-05-19
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2022-05-26
Survey response — day 28, dose 4MedDRA: Constipation, Insomnia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Constipation. Insomnia. Allergies.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-07-28
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2022-09-13
Dose 5 — Moderna
- 2022-09-30
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
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2023-03-14
Survey response — 6 months, dose 5MedDRA: Depression, Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-09-13 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): mild tenderness, not pain, at injection site. also muscle stiffness in that arm
Systemic reaction (other): for yesterday i forgot to report light headedness and some minor unsteadiness. none of this today
Release 10 — 6 months, dose 2
Symptoms: Gallstones and gallbladder surgery. Constipation. Fatigue.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Early this am about 130, my fever broke and i felt better. Please note that i had the flu vaccine at the same time as the pfizer booster
Release 10 — 3 months, dose 3
Symptoms: Cough with mucus. Mild sore throat. Runny nose. Fatigue
Healthcare visit (other): PCR test as well as a home test
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising, redness at injection site.
Systemic reaction (other): Still have a sizable bruise at injection site
Release 11 — day 28, dose 4
Symptoms: Constipation. Insomnia. 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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gallbladder operation | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release