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5M9-23621-83200

3 vaccinations 6 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
473 / IN
Registered
2021-02-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-11
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-16
    Registered in v-safe
  4. 2021-02-16
    Survey response — day 35, dose 2
    MedDRA: Chills, Headache, Influenza like illness, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: About 20hrs after getting the 2nd vaccine. I felt flu like symptoms, cold chills, fever no higher than 100.2 headache, and extreme body aches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-07-12
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: Fair
    Free text: Headache, arm pain and shoulder pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-10-22
    Dose 3 — Pfizer-BioNTech
  8. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  9. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  10. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  14. 2021-11-14
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  15. 2021-11-19
    Survey response — day 28, dose 3
    MedDRA: Chest pain, Headache, Pain — Feeling: Fair
    Free text: Headache and and a dull but quick sharp chest pain
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-21
    Survey response — 3 months, dose 3
    MedDRA: Cough, Fatigue, Migraine, Pyrexia — Feeling: Poor
    Free text: Cough, Migraine, feverish some fatigue
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-04-22
    Survey response — 6 months, dose 3
    MedDRA: Asthenia, Fatigue, Headache — Feeling: Poor
    Free text: Headaches all the time, I feel tired all the time, no energy!
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-10-22
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Coagulation time shortened, Office visit — Feeling: Fair
    Free text: I had covid again for the 2nd time. I have both 1st and 2nd shot plus a booster . So know i have had 3vaccinations and have had covid twice within a year. I have also went to the doctor recently and they have found that my blood is clotting
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-20Pfizer-BioNTech
22021-01-11Pfizer-BioNTech
32021-10-22Pfizer-BioNTech No

Free text

Release 4 — day 35, dose 2

2021-02-16

Symptoms: About 20hrs after getting the 2nd vaccine. I felt flu like symptoms, cold chills, fever no higher than 100.2 headache, and extreme body aches.

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: Headache, arm pain and shoulder pain.

Release 10 — day 28, dose 3

2021-11-19

Symptoms: Headache and and a dull but quick sharp chest pain

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Cough, Migraine, feverish some fatigue

Release 11 — 6 months, dose 3

2022-04-22

Symptoms: Headaches all the time, I feel tired all the time, no energy!

Release 12 — 12 months, dose 3

2022-10-22

Symptoms: I had covid again for the 2nd time. I have both 1st and 2nd shot plus a booster . So know i have had 3vaccinations and have had covid twice within a year. I have also went to the doctor recently and they have found that my blood is clotting

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDAsthenia · · ✓
SDChest pain · · ✓
SDChills ✓ ✓ ✓
SDCoagulation time shortened · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDMigraine · · ✓
SDNeck pain ○ ○ ○
SDOffice visit · · ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release