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DQ4-11922-30525

3 vaccinations 1 coded response 17 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
129 / NY
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Registered in v-safe
  2. 2021-03-12
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-12
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2021-03-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-12
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-08-28
    Dose 3 — Pfizer-BioNTech
  19. 2021-10-12
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-10-12
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  21. 2021-11-29
    Survey response — 3 months, dose 3
    MedDRA: Atrial fibrillation, Back pain, COVID-19, Chest pain, Fatigue, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Back pain afib sore chest fatigue COVID infection 11/2/2021. · Healthcare visit (other): Heart monitor
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-29
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  23. 2021-12-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Pfizer-BioNTech
22021-04-12Pfizer-BioNTech
32021-08-28Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — 3 months, dose 3

2021-11-29

Symptoms: Back pain afib sore chest fatigue COVID infection 11/2/2021.
Healthcare visit (other): Heart monitor

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
HCVOUnevaluable event · · ✓
SDAtrial fibrillation · · ✓
SDBack pain · · ✓
SDChest pain · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓

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