5WM-12576-94927
3 vaccinations
4 coded responses
30 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 065 / CT
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-21
Registered in v-safe
- 2021-01-23
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · HeadacheFree text: When I woke up this morning I felt like I was getting a cold. As the day passed, I felt better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Pfizer-BioNTech
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-24
- 2021-03-04
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-08-24
Dose 3 — Pfizer-BioNTech
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
-
2021-09-07
Survey response — day 14, dose 3MedDRA: Back pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Lower back pain. I had x-rays and a MRI. I do not think this pain is related to the booster shot. It came on all of a sudden on Friday. I go back to the doctor on Friday for the results of the MRI.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Survey response — day 21, dose 3MedDRA: Back pain, Office visit — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have really bad back pain. I dont think its related to the vaccine. Im being treated by my doctor.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
- 2021-09-30
- 2021-10-07
-
2022-02-24
Survey response — 6 months, dose 3MedDRA: Breast operation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm battling breast cancer. · Healthcare visit (other): I had breast surgery 12/28/2021MedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-08-24 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): When I woke up this morning I felt like I was getting a cold. As the day passed, I felt better.
Release 9 — day 14, dose 3
Symptoms: Lower back pain. I had x-rays and a MRI. I do not think this pain is related to the booster shot. It came on all of a sudden on Friday. I go back to the doctor on Friday for the results of the MRI.
Release 9 — day 21, dose 3
Symptoms: I have really bad back pain. I dont think its related to the vaccine. Im being treated by my doctor.
Release 11 — 6 months, dose 3
Symptoms: I'm battling breast cancer.
Healthcare visit (other): I had breast surgery 12/28/2021
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 | Breast operation | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release