67F-11043-06886
3 vaccinations
4 coded responses
35 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 797 / TX
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Tremor — Feeling: GoodFree text: Tremor in left hand but seems to be better nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Back pain — Feeling: FairFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-15
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaFree text: I was told I would probably not experience any side effects from 3rd shot but these have been wise and persisted longer than from 2nd shotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-04
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-30
- 2022-03-31
-
2022-09-30
Survey response — 12 months, dose 3MedDRA: COVID-19, Immunisation reaction — Feeling: Good · Be unable to do your normal daily activitiesFree text: Since you last contacted me I think I had 2nd booster on June 24 and then went on trip (wore masks and socially distanced as much as possible but no one else in group did) and contracted COVID Had reaction to new omnicron/bivalent vaccineMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Tremor in left hand but seems to be better now
Release 3 — day 14, dose 1
Symptoms: Back pain
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I was told I would probably not experience any side effects from 3rd shot but these have been wise and persisted longer than from 2nd shot
Release 12 — 12 months, dose 3
Symptoms: Since you last contacted me I think I had 2nd booster on June 24 and then went on trip (wore masks and socially distanced as much as possible but no one else in group did) and contracted COVID Had reaction to new omnicron/bivalent 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 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release