5KQ-13413-93345
4 vaccinations
6 coded responses
49 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 100 / NY
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
F3A-17183-32219
Child or adolescent in my care · Male · 2021-09-26
652-12683-65413
Child or adolescent in my care · Male · 2021-11-04
Timeline
-
2020-12-23
Dose 1 — Pfizer-BioNTech
-
2020-12-24
Registered in v-safe
-
2020-12-24
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: I often have headaches and this was very mild. It could have been unrelated to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-25
- 2020-12-26
- 2020-12-28
- 2020-12-30
- 2021-01-06
- 2021-01-13
-
2021-01-15
Dose 2 — Pfizer-BioNTech
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Yesterday- after filling out my v-safe form I developed a migraine headache. I hadnt had one in over 2 years. I had a classic migraine, visual aura followed by headache. No different in character than what I usually get.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-29
-
2021-02-05
Survey response — day 21, dose 2MedDRA: Pain — Feeling: GoodFree text: Some achiness- but it is something I have had before the covid vaccinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
-
2021-02-19
Survey response — day 35, dose 2MedDRA: Diarrhoea, Oropharyngeal pain — Feeling: FairFree text: Sore throat and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — day 42, dose 2MedDRA: Diarrhoea, Oropharyngeal pain — Feeling: GoodFree text: Sore throat, loose stoolsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-07-16
-
2021-09-23
Dose 3 — Pfizer-BioNTech
- 2021-09-26
- 2021-09-27
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-12-23
- 2022-03-24
- 2022-09-23
-
2022-10-06
Dose 4 — Moderna
-
2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-10-08
- 2022-10-09
-
2022-10-10
Survey response — days 1–6 daily, dose 4MedDRA: Migraine, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Headache · Be unable to work or attend schoolFree text: I had a migraine with aura today.I usually have about 1-3 a year. Interestingly, I had one the day following my 2nd Covid vaccine. This was 4 days after.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-22
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech | |
| 3 | 2021-09-23 | Pfizer-BioNTech | No |
| 4 | 2022-10-06 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I often have headaches and this was very mild. It could have been unrelated to the vaccine.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday- after filling out my v-safe form I developed a migraine headache. I hadnt had one in over 2 years. I had a classic migraine, visual aura followed by headache. No different in character than what I usually get.
Release 3 — day 21, dose 2
Symptoms: Some achiness- but it is something I have had before the covid vaccines
Release 4 — day 35, dose 2
Symptoms: Sore throat and diarrhea
Release 4 — day 42, dose 2
Symptoms: Sore throat, loose stools
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had a migraine with aura today.I usually have about 1-3 a year. Interestingly, I had one the day following my 2nd Covid vaccine. This was 4 days after.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release