6KE-25464-05755
4 vaccinations
7 coded responses
35 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 900 / CA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2021-01-18
Dose 2 — Pfizer-BioNTech
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2021-01-19
Registered in v-safe
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2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-21
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-02
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-19
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2021-07-19
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: 48 hours of extreme fatigue, body aches, headache. No fever, headache likely due to not having caffeine for a day.MedDRA releases: 2024-11 · check-in free text available
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2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
-
2021-10-13
Survey response — day 14, dose 3MedDRA: Body temperature increased, Chest pain, Cough, Fatigue, Headache, Malaise, Oropharyngeal pain, Pain, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Currently sick. Cough, headache, fatigue, chest pain. Symptoms started Saturday night with sore throat. Had progressed to body aches and brief fever of 99.6 for about two hours on Tuesday. Covid test Tuesday was negative. · Healthcare visit (other): Drive through Covid testMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Report sent to call center — day 14, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-18
-
2021-10-20
Survey response — day 21, dose 3MedDRA: Abdominal distension, Abdominal pain upper, Feeding disorder, Mobility decreased, Pain, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bad stomach bloat, led me to not eat and I was in so much pain I had to lay down, could not do anything. Lasted about 8 hours, then residual sore stomach and cramping. I took some gas relief meds, alka seltzer, and smoked weed, and used a heating padMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-12-29
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2022-03-30
Survey response — 6 months, dose 3MedDRA: Gastrointestinal bacterial overgrowth — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Likely SIBOMedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-31
-
2022-09-12
Dose 4 — Moderna
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2022-09-19
Health check-in — day 7, dose 4Feeling: Poor · Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2022-09-30
- 2022-10-04
- 2022-10-10
- 2022-10-18
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2022-10-25
Survey response — day 42, dose 4MedDRA: Oropharyngeal pain — Feeling: FairFree text: Morning sore throat d/t colder tempsMedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
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2023-03-13
Survey response — 6 months, dose 4MedDRA: Adverse reaction, Major depression — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-13
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-14
- 2023-03-14
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-09-12 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Release 9 — 6 months, dose 2
Symptoms: 48 hours of extreme fatigue, body aches, headache. No fever, headache likely due to not having caffeine for a day.
Release 10 — day 14, dose 3
Symptoms: Currently sick. Cough, headache, fatigue, chest pain. Symptoms started Saturday night with sore throat. Had progressed to body aches and brief fever of 99.6 for about two hours on Tuesday. Covid test Tuesday was negative.
Healthcare visit (other): Drive through Covid test
Release 10 — day 21, dose 3
Symptoms: Bad stomach bloat, led me to not eat and I was in so much pain I had to lay down, could not do anything. Lasted about 8 hours, then residual sore stomach and cramping. I took some gas relief meds, alka seltzer, and smoked weed, and used a heating pad cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Likely SIBO
Release 12 — day 42, dose 4
Symptoms: Morning sore throat d/t colder temps
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Abdominal distension | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Gastrointestinal bacterial overgrowth | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Major depression | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release