694-16073-76886
5 vaccinations
6 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 385 / TN
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-18
Registered in v-safe
- 2021-01-18
- 2021-01-22
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-30
- 2021-07-28
-
2021-09-14
Dose 3 — Pfizer-BioNTech
- 2022-01-27
-
2022-06-14
Dose 4 — Moderna
-
2022-06-16
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Myalgia, Self-medication — Feeling: Good · Fatigue or tirednessFree text: Yesterday: fatigue, muscle ache resolved with ibuprofenMedDRA releases: 2024-11 · check-in free text available
-
2022-06-18
Survey response — days 1–6 daily, dose 4MedDRA: Anxiety, Injection site rash, Injection site warmth — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Rash down from shot is jagged and quite warm. No pain. I jumped when needle hit skin and the needle was not withdrawn but slightly reset. I worry vaccine escaped into fat .MedDRA releases: 2024-11 · check-in free text available
- 2022-06-19
- 2022-06-20
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
-
2022-10-11
Dose 5 — Moderna
- 2022-10-13
- 2022-10-14
- 2022-10-15
-
2022-10-16
Survey response — days 1–6 daily, dose 5MedDRA: Injection site discolouration — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Not a rash but a pale rose about 3" by 2" near the injection. It was a bit pinker yesterday when I first saw it. At the rate it's fading, I expect it to disappear tomorrow.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Survey response — days 1–6 daily, dose 5MedDRA: Injection site erythema — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Not a "rad" but a pink area near injection site and today is very pale and smallerMedDRA releases: 2024-11 · check-in free text available
-
2022-10-18
Survey response — day 7, dose 5MedDRA: Erythema — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Pink area away from injection continues to fade; size is about half goneMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
- 2022-11-09
- 2022-11-15
- 2022-11-22
-
2023-01-10
Survey response — 3 months, dose 5MedDRA: Cough, Diarrhoea, Exposure to SARS-CoV-2, Gastrointestinal pain, Increased viscosity of upper respiratory secretion, Irritable bowel syndrome, Malaise, Medical counselling, Mouth breathing, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-01-10
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-11
-
2023-01-12
Callback requested for09:50AM ET
-
2023-01-12
Call successfulCompleted over the phone
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-09-14 | Pfizer-BioNTech | No |
| 4 | 2022-06-14 | Moderna | No |
| 5 | 2022-10-11 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday: fatigue, muscle ache resolved with ibuprofen
Systemic reaction (other): Rash down from shot is jagged and quite warm. No pain. I jumped when needle hit skin and the needle was not withdrawn but slightly reset. I worry vaccine escaped into fat .
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Not a rash but a pale rose about 3" by 2" near the injection. It was a bit pinker yesterday when I first saw it. At the rate it's fading, I expect it to disappear tomorrow.
Systemic reaction (other): Not a "rad" but a pink area near injection site and today is very pale and smaller
Release 12 — day 7, dose 5
Systemic reaction (other): Pink area away from injection continues to fade; size is about half gone
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 |
|---|---|---|---|---|
| HCVO | Exposure to SARS-CoV-2 | · | · | ✓ |
| HCVO | Malaise | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Mouth breathing | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site discolouration | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release