5XQ-20405-44136
5 vaccinations
9 coded responses
47 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Slight dizziness for about 15 minutes. Not severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe Dizziness · Healthcare visit (other): Nurse phone consultation, doctor consulted, calledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intermittent dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: FairFree text: Mild DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-16
Dose 2 — Pfizer-BioNTech
- 2021-02-16
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-11
- 2021-03-16
-
2021-03-23
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: I had to have surgery on my spine, unrelated to the vaccine. There were serious complications. I have no vaccine-related issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-30
Survey response — day 42, dose 2MedDRA: Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: This is not related to the vaccine. I have a paralyzed laryngeal nerve as a result of surgery. · Healthcare visit (other): I am scheduled for more speech therapy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-20
-
2021-06-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-08-16
Dose 3 — Pfizer-BioNTechCo-administered: yes
- 2021-08-17
-
2021-08-17
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Chills, Fatigue or tirednessFree text: Mild dizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Joint pains, Fatigue or tirednessAdult check-in
-
2021-08-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Chills, Joint pains, Fatigue or tirednessAdult check-in
-
2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-23
Survey response — day 7, dose 3MedDRA: Dizziness — Feeling: FairFree text: Mild dizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-06
- 2021-09-13
- 2021-09-20
- 2021-09-29
- 2021-11-16
- 2022-02-14
-
2022-03-28
Dose 4 — Moderna
- 2022-04-14
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-06-27
-
2022-10-13
Dose 5 — Pfizer-BioNTech
- 2022-10-17
-
2022-10-22
Health check-in — day 7, dose 5Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-27
- 2022-11-03
-
2022-11-10
Survey response — day 28, dose 5MedDRA: Back injury, Back pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I hurt my back badly. I am certain that this is an injury, and unrelated to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2022-11-24
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-08-16 | Pfizer-BioNTech | Yes |
| 4 | 2022-03-28 | Moderna | No |
| 5 | 2022-10-13 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slight dizziness for about 15 minutes. Not severe.
Systemic reaction (other): Severe Dizziness
Healthcare visit (other): Nurse phone consultation, doctor consulted, called
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Intermittent dizziness
Systemic reaction (other): Mild Dizziness
Release 6 — day 35, dose 2
Symptoms: I had to have surgery on my spine, unrelated to the vaccine. There were serious complications. I have no vaccine-related issues.
Release 6 — day 42, dose 2
Symptoms: This is not related to the vaccine. I have a paralyzed laryngeal nerve as a result of surgery.
Healthcare visit (other): I am scheduled for more speech therapy.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Mild dizziness
Release 9 — day 7, dose 3
Systemic reaction (other): Mild dizziness
Release 12 — day 28, dose 5
Symptoms: I hurt my back badly. I am certain that this is an injury, and unrelated to the vaccine.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Back injury | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release