6GM-15569-15759
4 vaccinations
4 coded responses
41 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 461 / IN
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Pain, Pain in extremity, Pruritus, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Woke up at 5 am with what felt like hayfever (itchy, runny, nose) headache amd sore arm/shoulder. Took Tylenol and was able to get a little more sleep. Headache, etc. better but shoulder and arm still achy and stiff. (Ala tetamus shot!)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Diverticulitis, Gastrointestinal viral infection, Irritable bowel syndrome, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Intestinal upset, diagnosed by GP as diverticulitis, but Gastro Dr. thinks intestinal 'bug' that set up an IBS situation. Seems to be resolving now. · Healthcare visit (other): Doctor's office, in-person visitsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-10-06
Dose 3 — Pfizer-BioNTech
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2022-01-05
- 2022-04-08
-
2022-05-17
Dose 4 — Moderna
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-31
- 2022-06-07
-
2022-06-28
Survey response — day 42, dose 4MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Mild stuffiness after transatlantic flightMedDRA releases: 2024-11 · check-in free text available
-
2022-08-16
Survey response — 3 months, dose 4MedDRA: Body temperature increased, Fatigue, Nasal congestion, Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Tested positive for covid19. Had mild cold symptoms (nasal and chest congestion. Very slight elevated temp (99 for 2 days.) Fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2023-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-05-17 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up at 5 am with what felt like hayfever (itchy, runny, nose) headache amd sore arm/shoulder. Took Tylenol and was able to get a little more sleep. Headache, etc. better but shoulder and arm still achy and stiff. (Ala tetamus shot!)
Release 9 — 6 months, dose 2
Symptoms: Intestinal upset, diagnosed by GP as diverticulitis, but Gastro Dr. thinks intestinal 'bug' that set up an IBS situation. Seems to be resolving now.
Healthcare visit (other): Doctor's office, in-person visits
Release 12 — day 42, dose 4
Symptoms: Mild stuffiness after transatlantic flight
Release 12 — 3 months, dose 4
Symptoms: Tested positive for covid19. Had mild cold symptoms (nasal and chest congestion. Very slight elevated temp (99 for 2 days.) Fatigue.
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 | Office visit | ✓ | · | ✓ |
| SD | Abdominal discomfort | ✓ | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Diverticulitis | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal viral infection | ✓ | · | ✓ |
| SD | Irritable bowel syndrome | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release