5NG-33333-78095
4 vaccinations
8 coded responses
24 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Pfizer-BioNTech
-
2021-02-22
Registered in v-safe
- 2021-02-24
- 2021-03-01
-
2021-03-08
Dose 2 — Pfizer-BioNTech
- 2021-03-08
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body achesFree text: Was gardening though!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-22
Survey response — day 14, dose 2MedDRA: Parosmia — Feeling: GoodFree text: Keep smelling something like gas in airMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — day 21, dose 2MedDRA: Parosmia — Feeling: GoodFree text: Smelling gas line smell that does not existMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 28, dose 2MedDRA: Headache, Parosmia — Feeling: GoodFree text: Headaches continue and smell odours no one else smellsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — day 35, dose 2MedDRA: Anisocoria, Mydriasis, Pupillary disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Pupillary abnormality. One larger than other for approx 10 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
- 2021-06-07
- 2021-09-06
- 2021-11-07
- 2021-11-11
-
2021-11-24
Dose 3 — Moderna
- 2022-03-08
-
2022-04-04
Dose 4 — Moderna
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Dizziness, Memory impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Odd dizzy forgetful spellsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-27
-
2022-05-02
Survey response — day 28, dose 4MedDRA: Abdominal pain — Feeling: GoodFree text: Had episode of extreme abdominal pain lasting approx half hour last night after dinner that finally resolved with no subsequent issues.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-18
-
2022-07-04
Survey response — 3 months, dose 4MedDRA: Bursitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bursitis right hip and kneeMedDRA releases: 2024-11 · check-in free text available
-
2022-07-04
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Pfizer-BioNTech | |
| 2 | 2021-03-08 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Was gardening though!
Release 6 — day 14, dose 2
Symptoms: Keep smelling something like gas in air
Release 6 — day 21, dose 2
Symptoms: Smelling gas line smell that does not exist
Release 7 — day 28, dose 2
Symptoms: Headaches continue and smell odours no one else smells
Release 7 — day 35, dose 2
Symptoms: Pupillary abnormality. One larger than other for approx 10 hours.
Release 11 — day 14, dose 4
Symptoms: Odd dizzy forgetful spells
Release 11 — day 28, dose 4
Symptoms: Had episode of extreme abdominal pain lasting approx half hour last night after dinner that finally resolved with no subsequent issues.
Release 12 — 3 months, dose 4
Symptoms: Bursitis right hip and knee
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 | Abdominal pain | · | · | ✓ |
| SD | Anisocoria | ✓ | · | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Mydriasis | ○ | ✓ | ○ |
| SD | Parosmia | ✓ | ✓ | ✓ |
| SD | Pupillary disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release