69Y-16671-86902
5 vaccinations
5 coded responses
49 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 276 / NC
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Muscle aches around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Muscle aches only in upper arm around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-10-25
Dose 3 — Pfizer-BioNTech
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 21, dose 3MedDRA: Headache, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe headache on lower back left side of head. · Healthcare visit (other): X-Rays and Cervical MRIMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-16
- 2021-11-19
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — day 42, dose 3MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe headaches at left rear base of skull. Based on recent MRI approx. 2 weeks ago and doctor's interpretation of scan results, headaches are most likely being caused from a separate health condition unrelated to the Covid vaccine booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
-
2022-04-25
Survey response — 6 months, dose 3MedDRA: Ear pain, Myalgia, Pain — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: All over body aches from head to toe, ear aches, muscle aches, but no sore throat, no congestion or sinus problems. Also, have not lost my sense of taste or smell.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
-
2022-08-07
Dose 4 — Pfizer-BioNTech
- 2022-10-25
-
2022-11-06
Dose 5 — Moderna
-
2022-11-10
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-20
- 2022-11-27
- 2022-12-04
- 2022-12-11
- 2022-12-18
- 2023-02-05
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-10-25 | Pfizer-BioNTech | No |
| 4 | 2022-08-07 | Pfizer-BioNTech | No |
| 5 | 2022-11-06 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Muscle aches around injection site
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle aches only in upper arm around injection site
Release 10 — day 21, dose 3
Symptoms: Severe headache on lower back left side of head.
Healthcare visit (other): X-Rays and Cervical MRI
Release 10 — day 42, dose 3
Symptoms: Severe headaches at left rear base of skull. Based on recent MRI approx. 2 weeks ago and doctor's interpretation of scan results, headaches are most likely being caused from a separate health condition unrelated to the Covid vaccine booster.
Release 11 — 6 months, dose 3
Symptoms: All over body aches from head to toe, ear aches, muscle aches, but no sore throat, no congestion or sinus problems. Also, have not lost my sense of taste or smell.
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 | Unevaluable event | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release