63C-92302-74804
6 vaccinations
7 coded responses
22 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 376 / TN
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
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2021-03-23
Dose 1 — Pfizer-BioNTech
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2021-03-23
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fever · Headache, DiarrheaFree text: The diarrhea was prior to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-25
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Vaccine in right shoulder. Occasional (new) joint pain in the right shoulder, but also recovering from adhesive capsulitis in that shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Gastric disorder, Pyrexia — Feeling: Good · Fever · Chills, Abdominal painFree text: Fever off and on. Stomach still questionable, but doing okay.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
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2021-04-08
Survey response — day 14, dose 1MedDRA: Tooth abscess — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tooth abscess (unrelated)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
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2021-04-14
Dose 2 — Pfizer-BioNTech
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2021-04-27
Survey response — day 7, dose 2MedDRA: Influenza like illness — Feeling: Good · Fever · Fatigue or tirednessFree text: Had significant flu like symptoms for 2 days after the second vaccine. But, I don't think current symtoms are related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
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2021-08-21
Dose 3 — Pfizer-BioNTech
- 2021-10-13
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2021-11-20
Survey response — 3 months, dose 3MedDRA: Menstruation irregular, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Haven't had menstrual cycle since Sept 18, but could be related to other things. Also sinus infection, but I tend to have those chronically.MedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-22
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2021-11-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-01-21
Dose 4 — Moderna
- 2022-02-19
- 2022-04-24
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2022-05-31
Dose 5 — Pfizer-BioNTech
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2022-07-24
Survey response — 6 months, dose 4MedDRA: Ear congestion, Ear infection — Feeling: GoodFree text: Ear stuffiness/infection. Will see doctor this week.MedDRA releases: 2024-11 · check-in free text available
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2022-09-14
Dose 6 — ModernaCo-administered: Flu
- 2022-12-14
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-08-21 | Pfizer-BioNTech | No |
| 4 | 2022-01-21 | Moderna | No |
| 5 | 2022-05-31 | Pfizer-BioNTech | No |
| 6 | 2022-09-14 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): The diarrhea was prior to vaccine.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Vaccine in right shoulder. Occasional (new) joint pain in the right shoulder, but also recovering from adhesive capsulitis in that shoulder.
Systemic reaction (other): Fever off and on. Stomach still questionable, but doing okay.
Release 7 — day 14, dose 1
Symptoms: Tooth abscess (unrelated)
Release 8 — day 7, dose 2
Systemic reaction (other): Had significant flu like symptoms for 2 days after the second vaccine. But, I don't think current symtoms are related to vaccine.
Release 10 — 3 months, dose 3
Symptoms: Haven't had menstrual cycle since Sept 18, but could be related to other things. Also sinus infection, but I tend to have those chronically.
Release 12 — 6 months, dose 4
Symptoms: Ear stuffiness/infection. Will see doctor this week.
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 | Ear congestion | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tooth abscess | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Gastric disorder | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release