5W6-17763-81345
3 vaccinations
7 coded responses
40 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 485 / MI
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Herpes zoster, Pain, Pruritus — Feeling: Good · Joint pains, Muscle or body achesFree text: Pain and itching along prior shingles area in back thoracic lumbarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 35, dose 2MedDRA: Alopecia, Arthralgia, Decreased appetite, Dysgeusia, Insomnia, Taste disorder — Feeling: GoodFree text: Increasing hair loss, increase in joint pain, continuing to have bad taste when eating meats, some difficulty sleeping. Did not mention this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-10-19
Dose 3 — Pfizer-BioNTech
-
2021-10-19
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-10-21
-
2021-10-22
Survey response — days 1–6 daily, dose 3MedDRA: Haemoglobin decreased, Red blood cell count decreased, White blood cell count decreased — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Blood work showed low RBCs and low WBCs and hemoglobin 11MedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-24
- 2021-10-25
- 2021-10-26
-
2021-11-02
Survey response — day 14, dose 3MedDRA: Cough, Fatigue, Pre-existing disease, Respiratory symptom — Feeling: GoodFree text: Increase cough and respiratory symptoms, but am asthmatic and fall weather normally worse for me. Increase fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
-
2021-11-30
Survey response — day 42, dose 3MedDRA: Diarrhoea, Haemoglobin decreased, Knee arthroplasty, Nausea, Red blood cell count decreased, Vertigo, White blood cell count decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vertigo with nausea and diarrhea. Also had total knee replacement. Low hemoglobin, low RBC and low WBC on blood draw 2 days after vaccine booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-04-19
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2022-10-19
Survey response — 12 months, dose 3MedDRA: COVID-19, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Recovering from Covid! · Healthcare visit (other): Phone due to covidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Pain and itching along prior shingles area in back thoracic lumbar
Release 7 — day 35, dose 2
Symptoms: Increasing hair loss, increase in joint pain, continuing to have bad taste when eating meats, some difficulty sleeping. Did not mention this before.
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Blood work showed low RBCs and low WBCs and hemoglobin 11
Release 10 — day 14, dose 3
Symptoms: Increase cough and respiratory symptoms, but am asthmatic and fall weather normally worse for me. Increase fatigue.
Release 10 — day 42, dose 3
Symptoms: Vertigo with nausea and diarrhea. Also had total knee replacement. Low hemoglobin, low RBC and low WBC on blood draw 2 days after vaccine booster.
Release 12 — 12 months, dose 3
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 | COVID-19 | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ○ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Haemoglobin decreased | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Red blood cell count decreased | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Taste disorder | ✓ | ✓ | ○ |
| SD | Vertigo | · | · | ✓ |
| SD | White blood cell count decreased | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Haemoglobin decreased | · | · | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | ○ | ✓ | ○ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Red blood cell count decreased | · | · | ✓ |
| SRO | White blood cell count decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release