5RF-90667-53645
5 vaccinations
4 coded responses
34 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 967 / HI
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Pfizer-BioNTech
-
2021-05-04
Dose 2 — Pfizer-BioNTech
-
2021-05-05
Registered in v-safe
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, VomitingAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
-
2021-05-12
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
-
2021-11-16
Dose 3 — Pfizer-BioNTech
-
2022-04-04
Dose 4 — Pfizer-BioNTech
-
2022-04-18
Survey response — day 14, dose 4MedDRA: Paranasal sinus discomfort, Rhinorrhoea — Feeling: GoodFree text: Sinus pressure and runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-05-02
- 2022-05-10
- 2022-05-16
- 2022-07-04
-
2022-09-26
Dose 5 — Moderna
- 2022-09-26
-
2022-09-27
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-29
-
2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: Not bleeding or a rash, but a bruise at the injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-01
- 2022-10-02
- 2022-10-03
-
2022-10-10
Survey response — day 14, dose 5MedDRA: Condition aggravated, Injection site bruising, Injection site pain, Injection site swelling, Myalgia, Neuralgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Possible reaction to the quadrivalent high dose flu shot, but possibly coincidence. Muscle and nerve pain from a chronic condition was really exacerbated, along with site swelling, soreness and bruising. Weird experience that was not normal for me.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-24
-
2022-10-31
Survey response — day 35, dose 5MedDRA: Emergency care, Gastrointestinal disorder, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Extreme nausea and stomach issues; sent me to hospital for fluids and anti nausea medication. But I think it's unrelated to the vaccinations. Too long ago.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-31
Report sent to call center — day 35, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-11-02
- 2022-11-07
- 2022-12-26
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech | |
| 3 | 2021-11-16 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-26 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — day 14, dose 4
Symptoms: Sinus pressure and runny nose
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Not bleeding or a rash, but a bruise at the injection site.
Release 12 — day 14, dose 5
Symptoms: Possible reaction to the quadrivalent high dose flu shot, but possibly coincidence. Muscle and nerve pain from a chronic condition was really exacerbated, along with site swelling, soreness and bruising. Weird experience that was not normal for me. cut off by CDC
Release 12 — day 35, dose 5
Symptoms: Extreme nausea and stomach issues; sent me to hospital for fluids and anti nausea medication. But I think it's unrelated to the vaccinations. Too long ago.
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 | Condition aggravated | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Injection site bruising | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release