5TN-75396-63451
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Pfizer-BioNTech
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Pfizer-BioNTech
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 2MedDRA: Feeling abnormal — Feeling: FairFree text: I had to cheat in order to get the comment space!! On Saturday 3-13-21 I awoke feeling as if a great foggy sensation had lifted since the start of the covid vaccination. That was 8 days post vaccination #2 (Pfizer). I really am feeling good!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-10-23
Dose 3 — Pfizer-BioNTech
-
2021-10-23
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Since yesterday afternoon I have have left axillary pain. Had the immunization in left deltoid. No lymph nodes palpable.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pain in extremity, Pruritus — Feeling: Fair · Site: Pain, Redness, ItchingFree text: The erythema, itching began last evening. The arm soreness persists as beforeMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, ItchingFree text: Left axilla pain has ceasedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-10-30
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
-
2021-12-04
Survey response — day 42, dose 3MedDRA: Craniofacial fracture, Emergency care, Eye contusion, Face injury, Fall, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Fell stepping down from a curb. Landed on right face. No concussion or bleed but close fx of right maxillary sinus. Periorbital contusion. · Healthcare visit (other): Urgent care. Sutured right eye brow laceration then denoting ER for head:neck CTMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-06
- 2022-01-22
- 2022-04-23
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech | |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 6 — day 14, dose 2
Symptoms: I had to cheat in order to get the comment space!! On Saturday 3-13-21 I awoke feeling as if a great foggy sensation had lifted since the start of the covid vaccination. That was 8 days post vaccination #2 (Pfizer). I really am feeling good!!
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Since yesterday afternoon I have have left axillary pain. Had the immunization in left deltoid. No lymph nodes palpable.
Systemic reaction (other): The erythema, itching began last evening. The arm soreness persists as before
Systemic reaction (other): Left axilla pain has ceased
Release 10 — day 7, dose 3
Systemic reaction (other): None
Release 10 — day 42, dose 3
Symptoms: Fell stepping down from a curb. Landed on right face. No concussion or bleed but close fx of right maxillary sinus. Periorbital contusion.
Healthcare visit (other): Urgent care. Sutured right eye brow laceration then denoting ER for head:neck CT
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 |
|---|---|---|---|---|
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Face injury | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Craniofacial fracture | · | · | ✓ |
| SD | Eye contusion | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release