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5M9-97989-66103

4 vaccinations 8 coded responses 27 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
980 / WA
Registered
2021-05-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-07
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-22
    Registered in v-safe
  4. 2021-05-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-05-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-06-04
    Survey response — day 28, dose 2
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Mild chest congestion as if lung capacity has been reduced. Seems worse when lying down. Not bad enough to prevent me from doing daily tasks or walking 2 miles.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-11
    Survey response — day 35, dose 2
    MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: My irritable bowel syndrome had two flare-ups after years of having none. I can't be sure it was vaccine related. It's merely suspicious.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-11-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-12-13
    Dose 3 — Pfizer-BioNTech
  12. 2021-12-20
    Survey response — day 7, dose 3
    MedDRA: Fatigue, Injection site pain, Injection site pruritus — Feeling: Good · Site: Itching
    Free text: Severe pain at the injection site for 24 hours, fading to minor for another 2 days. Itching near the injection site for almost a week. Minor fatigue for two days following injection.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-03
    Survey response — day 21, dose 3
    MedDRA: Exposure to SARS-CoV-2, Sinus headache, Sneezing — Feeling: Fair
    Free text: Unexplained sneezing after exposure to person with COVID (I'm getting tested tomorrow); sinus headache - might be due to tree pollen, but it's unusually early in the year for that.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-24
    Survey response — day 42, dose 3
    MedDRA: Dacryocanaliculitis, Dacryostenosis acquired, Pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Blocked tear duct has become infected & painful. (Probably not COVID related.)
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-24
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  19. 2022-01-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  20. 2022-03-14
    Survey response — 3 months, dose 3
    MedDRA: Cough, Eye infection, Headache, Office visit, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Headache, cough, persistent fever for 2.5 weeks. · Healthcare visit (other): Two eye doctor appointments due to an eye infection
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-03-14
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  22. 2022-03-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  23. 2022-04-12
    Dose 4 — Pfizer-BioNTech
  24. 2022-04-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Body temperature increased, Headache, Injection site pain — Feeling: Good · Site: Pain, Itching · Headache · Be unable to do your normal daily activities
    Free text: April 13, I had pain at the injection site, headache & fever of 100.2.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-04-19
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  29. 2022-04-26
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-10
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-07-12
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-10-11
    Survey response — 6 months, dose 4
    MedDRA: Injection site pain, Pyrexia — Feeling: Good
    Free text: I had flu & COVID boosters on Wed Oct 5. Felt feverish Wed nite. Injection sites were sore for 24 hrs. Back to normal by late Thurs.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2023-04-12
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Pfizer-BioNTech
22021-05-07Pfizer-BioNTech
32021-12-13Pfizer-BioNTech No
42022-04-12Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Mild chest congestion as if lung capacity has been reduced. Seems worse when lying down. Not bad enough to prevent me from doing daily tasks or walking 2 miles.

Release 9 — day 35, dose 2

2021-06-11

Symptoms: My irritable bowel syndrome had two flare-ups after years of having none. I can't be sure it was vaccine related. It's merely suspicious.

Release 10 — day 7, dose 3

2021-12-20

Systemic reaction (other): Severe pain at the injection site for 24 hours, fading to minor for another 2 days. Itching near the injection site for almost a week. Minor fatigue for two days following injection.

Release 10 — day 21, dose 3

2022-01-03

Symptoms: Unexplained sneezing after exposure to person with COVID (I'm getting tested tomorrow); sinus headache - might be due to tree pollen, but it's unusually early in the year for that.

Release 11 — day 42, dose 3

2022-01-24

Symptoms: Blocked tear duct has become infected & painful. (Probably not COVID related.)

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: Headache, cough, persistent fever for 2.5 weeks.
Healthcare visit (other): Two eye doctor appointments due to an eye infection

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): April 13, I had pain at the injection site, headache & fever of 100.2.

Release 12 — 6 months, dose 4

2022-10-11

Symptoms: I had flu & COVID boosters on Wed Oct 5. Felt feverish Wed nite. Injection sites were sore for 24 hrs. Back to normal by late Thurs.

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
HCVOEye infection · · ✓
HCVOOffice visit · · ✓
SDCough · · ✓
SDDacryocanaliculitis · · ✓
SDDacryostenosis acquired · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDHeadache · · ✓
SDInjection site pain · · ✓
SDIrritable bowel syndrome ✓ ✓ ✓
SDPain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSinus headache · · ✓
SDSneezing · · ✓
SROBody temperature increased · · ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROInjection site pain · · ✓
SROInjection site pruritus · · ✓

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