655-14688-95265
5 vaccinations
10 coded responses
56 check-ins
9 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 61-65
- ZIP prefix
- 015 / MA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Pfizer-BioNTech
-
2021-01-16
Registered in v-safe
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
-
2021-01-22
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Red dots on front right shin, mild, 12-18MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-05
Dose 2 — Pfizer-BioNTech
-
2021-02-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Chills · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Disturbance in attention, Fatigue, Tremor — Feeling: Good · Site: Pain, SwellingFree text: Yesterday I had difficulty concentrating, shakiness, fatigue-chills for 6 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-09
-
2021-09-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Pruritus — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Itching day after shot, brain fog todayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia — Feeling: Fair · Fatigue or tirednessFree text: Ankles hurtMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Pain, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Vomiting, diarrehia, body aches, covid test scheduled for wednesday. I have all three phizer and flu shotsMedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-05-16
Dose 4 — Pfizer-BioNTech
- 2022-05-16
-
2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
-
2022-06-20
Survey response — day 35, dose 4MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
-
2022-08-15
Survey response — 3 months, dose 4MedDRA: Arthralgia, Myalgia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain in shoulders, infraspamadis musclesMedDRA releases: 2024-11 · check-in free text available
-
2022-08-15
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-20
Dose 5 — Pfizer-BioNTech
- 2022-09-20
- 2022-09-21
- 2022-09-24
-
2022-09-27
Survey response — day 7, dose 5MedDRA: Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pcp thinks it is a sinus infrction-neg covid testMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-13
-
2022-10-20
Survey response — day 28, dose 5MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Head cold. Not covidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-25
- 2022-11-01
- 2022-12-20
-
2023-03-23
Survey response — 6 months, dose 5MedDRA: COVID-19, Fatigue, Headache, Respiratory tract congestion, Secretion discharge, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-16 | Pfizer-BioNTech | No |
| 5 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Red dots on front right shin, mild, 12-18
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I had difficulty concentrating, shakiness, fatigue-chills for 6 hours
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Itching day after shot, brain fog today
Systemic reaction (other): Ankles hurt
Release 10 — 3 months, dose 3
Symptoms: Vomiting, diarrehia, body aches, covid test scheduled for wednesday. I have all three phizer and flu shots
Release 12 — day 35, dose 4
Symptoms: Diarrhea fatigue
Release 12 — 3 months, dose 4
Symptoms: Pain in shoulders, infraspamadis muscles
Release 12 — day 7, dose 5
Systemic reaction (other): Pcp thinks it is a sinus infrction-neg covid test
Release 12 — day 28, dose 5
Symptoms: Head cold. Not covid
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 | Arthralgia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Sinusitis | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release