5H5-30400-06515
4 vaccinations
10 coded responses
47 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 303 / GA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
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2021-02-06
Dose 1 — Pfizer-BioNTech
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2021-02-06
Survey response — day 0, dose 1MedDRA: Giant cell arteritis, Headache, Injection site pain, Pain — Feeling: Good · HeadacheFree text: Inj site soreness w movement, mild frontal HA abt 3hrs after, lasted approx 30 mins. Sharp acute left temporal pain lasted approx 10 seconds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Headache — Feeling: GoodFree text: Between 12:30a to 2a mild HA, acute sharp pain left side of head, felt flush/feverish but oral temp 98.0. Feel great today though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: GoodFree text: Mild head pain left temple, abt 3pm, lasted apprx 5 secsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
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2021-03-01
Dose 2 — Pfizer-BioNTech
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2021-03-01
Survey response — day 0, dose 2MedDRA: Headache, Injection site pain — Feeling: Good · Site: Pain · HeadacheFree text: Mild pain at inj site, normal. Acute right head temple pain x2 today, duration3-5 secsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Headache, Fatigue or tirednessFree text: Feel like i have a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-15
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2021-03-22
Survey response — day 21, dose 2MedDRA: Rash, Rash papular, Rash pruritic — Feeling: FairFree text: Itchy, raised Rash, neck, shoulders, partial ly down arms, collar bone, upper chest. Actually started last Monday after survey. Still present today but less pruitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-05-31
Survey response — 3 months, dose 2MedDRA: Dysgeusia, Hyperhidrosis, Medical counselling, Skin odour abnormal — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have a peculiar taste in my mouth.My urine has a peculiar odor.My body perspiration smells different. · Healthcare visit (other): Consulted an ob/ gyn Dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
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2022-03-01
Survey response — 12 months, dose 2MedDRA: Headache, Hypertension, Musculoskeletal chest pain, Office visit, Pain, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Please note that i don't know if related to vaccine: HA left side. Left sided Pain under lower rib cage radiates to the back. HTN escalated. · Healthcare visit (other): Dr. Office visitsMedDRA releases: 2024-11 · check-in free text available
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2022-03-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-27
Dose 3 — Pfizer-BioNTech
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2022-05-03
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Fair · Fatigue or tirednessFree text: Mild queasyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
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2022-05-13
Survey response — day 14, dose 3MedDRA: Axillary pain, Injection site pain — Feeling: GoodFree text: Injection site arm soreness lasted longer w soreness near armpit.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-25
- 2022-06-03
- 2022-06-08
- 2022-07-27
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2022-09-24
Dose 4 — ModernaCo-administered: Flu
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-29
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-12-24
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Pfizer-BioNTech | |
| 2 | 2021-03-01 | Pfizer-BioNTech | |
| 3 | 2022-04-27 | Pfizer-BioNTech | No |
| 4 | 2022-09-24 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Inj site soreness w movement, mild frontal HA abt 3hrs after, lasted approx 30 mins. Sharp acute left temporal pain lasted approx 10 seconds.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Between 12:30a to 2a mild HA, acute sharp pain left side of head, felt flush/feverish but oral temp 98.0. Feel great today though.
Systemic reaction (other): Mild head pain left temple, abt 3pm, lasted apprx 5 secs
Release 4 — day 0, dose 2
Systemic reaction (other): Mild pain at inj site, normal. Acute right head temple pain x2 today, duration3-5 secs
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feel like i have a cold
Release 6 — day 21, dose 2
Symptoms: Itchy, raised Rash, neck, shoulders, partial ly down arms, collar bone, upper chest. Actually started last Monday after survey. Still present today but less pruitis.
Release 8 — 3 months, dose 2
Symptoms: I have a peculiar taste in my mouth.My urine has a peculiar odor.My body perspiration smells different.
Healthcare visit (other): Consulted an ob/ gyn Dr.
Release 11 — 12 months, dose 2
Symptoms: Please note that i don't know if related to vaccine: HA left side. Left sided Pain under lower rib cage radiates to the back. HTN escalated.
Healthcare visit (other): Dr. Office visits
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Mild queasy
Release 11 — day 14, dose 3
Symptoms: Injection site arm soreness lasted longer w soreness near armpit.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin odour abnormal | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Giant cell arteritis | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release