67R-61877-37044
4 vaccinations
9 coded responses
35 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 325 / FL
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
- 2021-04-02
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Slightly loose bowels but not diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-04-23
Health check-in — day 0, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
- 2021-04-27
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Frequent bowel movements — Feeling: GoodFree text: Extra bowel movements than usual the last few days, not diarrhea but more than usual-staying hydratedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-09
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-07-23
Survey response — 3 months, dose 2MedDRA: Headache, Throat irritation — Feeling: GoodFree text: Scratchy throat every now and then; headache out of the blue a couple of timesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache every now and then (a couple of times a month), it doesn't last long but comes out of the blue and usually subsides without medsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-14
Dose 3 — Moderna
-
2022-04-23
Survey response — 12 months, dose 2MedDRA: Eye pruritus, Oropharyngeal pain, Rhinorrhoea, Secretion discharge, Sinusitis, Unevaluable event — Feeling: GoodFree text: Sinus I infection: runny nose, itchy eyes, then the nasal drip caused sore throat for a day and last the co festoon and mucus. Finally cleared up after 7 days.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-30
Dose 4 — Moderna
-
2022-11-01
Survey response — days 1–6 daily, dose 4MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Extra warmth at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2022-11-02
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness, SwellingFree text: Mild aching in the arm of shot if used too muchMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-05
- 2022-11-06
- 2022-11-14
- 2022-11-20
- 2022-11-27
- 2022-12-04
-
2022-12-11
Survey response — day 42, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: GoodFree text: Slight cough, some congestion, no fever or aches. Could be change of weather and/or short flight a few days ago.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-30
-
2023-04-30
Survey response — 6 months, dose 4MedDRA: Oropharyngeal pain, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-04-30
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-01
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2022-01-14 | Moderna | No |
| 4 | 2022-10-30 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly loose bowels but not diarrhea
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Extra bowel movements than usual the last few days, not diarrhea but more than usual-staying hydrated
Release 9 — 3 months, dose 2
Symptoms: Scratchy throat every now and then; headache out of the blue a couple of times
Release 10 — 6 months, dose 2
Symptoms: Headache every now and then (a couple of times a month), it doesn't last long but comes out of the blue and usually subsides without meds
Release 11 — 12 months, dose 2
Symptoms: Sinus I infection: runny nose, itchy eyes, then the nasal drip caused sore throat for a day and last the co festoon and mucus. Finally cleared up after 7 days.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Extra warmth at injection site
Systemic reaction (other): Mild aching in the arm of shot if used too much
Release 12 — day 42, dose 4
Symptoms: Slight cough, some congestion, no fever or aches. Could be change of weather and/or short flight a few days ago.
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 | Cough | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release