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5P5-15074-28102

3 vaccinations 6 coded responses 37 check-ins 6 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
982 / WA
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-07
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Fatigue or tiredness
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Fatigue or tiredness
    Adult check-in
  17. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-07
    Survey response — day 7, dose 2
    MedDRA: Cough, Productive cough, Respiratory tract congestion — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cough, congestion, minor amount of blood in phlegm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-04-21
    Survey response — day 21, dose 2
    MedDRA: Cough, Productive cough — Feeling: Fair
    Free text: half teaspoon of blood in phlegm from throat/mouth each morning. None rest of day. Very minor cough- not sure if that is from allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-04
    Survey response — day 35, dose 2
    MedDRA: Cough, Pre-existing disease — Feeling: Good
    Free text: Mild cough, no fever, may be pollen/dust allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-01
    Dose 3 — Pfizer-BioNTech
  27. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  28. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  29. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-15
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-10-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-31
    Survey response — 3 months, dose 3
    MedDRA: Arthralgia, Pre-existing disease, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Pains in my left shoulder, maybe rotator cuff injury from hoisting myself up post-hysterectomy, not related to my jabs · Healthcare visit (other): Will see physical therapist next for rotator cuff PT
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-31
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  41. 2022-01-06
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  42. 2022-04-03
    Survey response — 6 months, dose 3
    MedDRA: Dyspnoea, Fatigue, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Chest congestion, short of breath, fatigue · Healthcare visit (other): Prescribed inhaler. Cardio stress test scheduled
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-03
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  44. 2022-04-05
  45. 2022-10-03
    Survey response — 12 months, dose 3
    MedDRA: Metastases to liver, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Liver cancer metastasis · Healthcare visit (other): Oncologist appointments, radiation, chemo and daily capsules for ALK+ lung cancer.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-03
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  47. 2022-10-05
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  48. 2022-10-05
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Pfizer-BioNTech
22021-03-30Pfizer-BioNTech
32021-10-01Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Cough, congestion, minor amount of blood in phlegm

Release 7 — day 21, dose 2

2021-04-21

Symptoms: half teaspoon of blood in phlegm from throat/mouth each morning. None rest of day. Very minor cough- not sure if that is from allergies.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Mild cough, no fever, may be pollen/dust allergies.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Pains in my left shoulder, maybe rotator cuff injury from hoisting myself up post-hysterectomy, not related to my jabs
Healthcare visit (other): Will see physical therapist next for rotator cuff PT

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: Chest congestion, short of breath, fatigue
Healthcare visit (other): Prescribed inhaler. Cardio stress test scheduled

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: Liver cancer metastasis
Healthcare visit (other): Oncologist appointments, radiation, chemo and daily capsules for ALK+ lung cancer.

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
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDArthralgia · · ✓
SDCough ✓ ✓ ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDMetastases to liver · · ✓
SDPre-existing disease ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SROCough ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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

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