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6AD-27599-31529

5 vaccinations 5 coded responses 44 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
483 / MI
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Dose 2 — Pfizer-BioNTech
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Fatigue or tiredness
    Adult check-in
  7. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Im really not sure that my tiredness has anything to do with my vaccine. It probably has more to do with being in Michigan with snow and temperatures in the 20s so please feel free to eliminate that comment if you agree. Hard to figure out where its coming from.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-11
    Survey response — 3 months, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good
    Free text: I woke up with a sore throat today but Im sure its the usual spring allergy activity. Nothing serious.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-10
    Survey response — 6 months, dose 2
    MedDRA: Eye disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: A problem with my right eye but its being followed by my ophthalmologist. · Healthcare visit (other): In office visit - face to face
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-10
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-17
  19. 2021-08-17
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  20. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  21. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  22. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  23. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  24. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  25. 2021-10-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-10-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-10-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-10-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-03-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-05-04
    Dose 4 — Moderna
  34. 2022-05-04
    Survey response — day 0, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  36. 2022-05-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  37. 2022-05-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  38. 2022-05-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  39. 2022-05-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  40. 2022-05-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness · None
    Adult check-in
  41. 2022-05-11
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Redness · None
    Adult check-in
  42. 2022-05-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-06-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-08
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-06-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-08-04
    Survey response — 3 months, dose 4
    MedDRA: Insomnia — Feeling: Good
    Free text: I haven't had CoVid & I've been vaccinated & double boosted but have had the occurrence of severe insomnia that has cropped up in the past several months. I don't think it's related to CoVid or vaccine but rather to disturbing world events. Mentionin
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-09-30
    Dose 5 — Moderna
  49. 2022-11-02
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-11-04
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-11-11
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-12-30
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  53. 2023-03-31
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Pfizer-BioNTech
22021-02-09Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No
42022-05-04Moderna No
52022-09-30Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Im really not sure that my tiredness has anything to do with my vaccine. It probably has more to do with being in Michigan with snow and temperatures in the 20s so please feel free to eliminate that comment if you agree. Hard to figure out where its coming from.

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: I woke up with a sore throat today but Im sure its the usual spring allergy activity. Nothing serious.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: A problem with my right eye but its being followed by my ophthalmologist.
Healthcare visit (other): In office visit - face to face

Release 11 — day 0, dose 4

2022-05-04

Systemic reaction (other): No

Release 12 — 3 months, dose 4

2022-08-04

Symptoms: I haven't had CoVid & I've been vaccinated & double boosted but have had the occurrence of severe insomnia that has cropped up in the past several months. I don't think it's related to CoVid or vaccine but rather to disturbing world events. Mentionin cut off by CDC

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDEye disorder ✓ · ✓
SDInsomnia · · ✓
SDOffice visit ✓ · ✓
SDOropharyngeal pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONo adverse event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release