5M4-31694-12390
5 vaccinations
5 coded responses
29 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-03-05
Registered in v-safe
- 2021-03-05
- 2021-03-12
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Tylenol helps: Symptoms would be worse w/o it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body achesAdult check-in
-
2021-03-24
Health check-in — day 7, dose 2Feeling: Fair · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Fatigue, Freezing phenomenon, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: One week after 2nd dose I was achy, tired, and freezing (could not get warm) for less than a day. Im fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
-
2021-08-25
Dose 3 — Pfizer-BioNTech
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Emergency care, Medical counselling, Respiratory syncytial virus infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Bad RSVno covid or collateral infection. · Healthcare visit (other): Contacted heme-onc triage nurse, who directed me to ER to be checked.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-17
-
2021-09-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-02
- 2021-10-06
- 2021-11-24
-
2022-02-03
Dose 4 — Pfizer-BioNTech
- 2022-02-23
- 2022-05-05
- 2022-08-04
-
2022-09-21
Dose 5 — Pfizer-BioNTech
-
2022-10-14
Survey response — day 21, dose 5MedDRA: Emergency care, Pneumonia, SARS-CoV-2 test negative, Sedative therapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Unrelated to covid or vaccinepneumonia. Symptoms followed sedation for colonoscopy and were confirmed as pneumonia in the ER. · Healthcare visit (other): Pneumonia only. Covid test, negativeMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-10-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-19
- 2022-10-26
- 2022-11-04
- 2022-12-21
-
2023-03-22
Survey response — 6 months, dose 5MedDRA: Gastrointestinal viral infection, Rotavirus infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-08-25 | Pfizer-BioNTech | No |
| 4 | 2022-02-03 | Pfizer-BioNTech | No |
| 5 | 2022-09-21 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tylenol helps: Symptoms would be worse w/o it.
Release 6 — day 14, dose 2
Symptoms: One week after 2nd dose I was achy, tired, and freezing (could not get warm) for less than a day. Im fine now.
Release 9 — 6 months, dose 2
Symptoms: Bad RSVno covid or collateral infection.
Healthcare visit (other): Contacted heme-onc triage nurse, who directed me to ER to be checked.
Release 12 — day 21, dose 5
Symptoms: Unrelated to covid or vaccinepneumonia. Symptoms followed sedation for colonoscopy and were confirmed as pneumonia in the ER.
Healthcare visit (other): Pneumonia only. Covid test, negative
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 | Emergency care | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Pneumonia | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Freezing phenomenon | ✓ | ✓ | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Rotavirus infection | · | · | ✓ |
| SD | Sedative therapy | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release