67N-13985-47615
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 539 / WI
- Registered
- 2020-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-16
Registered in v-safe
-
2020-12-16
Dose 1 — Pfizer-BioNTech
- 2020-12-16
-
2020-12-17
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Site: Pain · HeadacheFree text: CrabbyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-25
- 2020-12-30
-
2021-01-06
Dose 2 — Pfizer-BioNTech
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-20
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 42, dose 2MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough, sore throat, sneezing, congestion, Headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — 3 months, dose 2MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Significant Mid low back pain. Not sure if it is an injury, kidney infection or related to menopause/menstruation. Have had in past but not this long of time or intensity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-07
-
2021-10-25
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-01-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Impaired work ability, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend schoolFree text: Positive family member (12 yr old son who has been vaccinated x 2 with mild symptoms) had some mild sniffels and sneezing. My antigen tests x 2 and pcr tests x 2 remain negative. (I work as an rn) only could not work due work rules.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech | |
| 3 | 2021-10-25 | Pfizer-BioNTech | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Crabby
Release 4 — day 42, dose 2
Symptoms: Cough, sore throat, sneezing, congestion, Headache.
Release 7 — 3 months, dose 2
Symptoms: Significant Mid low back pain. Not sure if it is an injury, kidney infection or related to menopause/menstruation. Have had in past but not this long of time or intensity.
Release 11 — 3 months, dose 3
Symptoms: Positive family member (12 yr old son who has been vaccinated x 2 with mild symptoms) had some mild sniffels and sneezing. My antigen tests x 2 and pcr tests x 2 remain negative. (I work as an rn) only could not work due work rules.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ○ | ○ | ○ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release