KK9-12123-85447
4 vaccinations
9 coded responses
24 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 730 / OK
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-17
- 2020-12-18
- 2020-12-19
- 2020-12-20
- 2020-12-21
- 2020-12-22
-
2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Feeling of body temperature change — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessFree text: Hot and cold chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-24
Health check-in — day 7, dose 1Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-02
-
2021-01-30
Dose 2 — Pfizer-BioNTech
- 2021-03-18
- 2021-06-17
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-12-17
-
2022-09-29
Dose 4 — Pfizer-BioNTech
- 2022-09-30
- 2022-10-02
-
2022-10-03
Survey response — days 1–6 daily, dose 4MedDRA: SARS-CoV-2 test positive, Sinus congestion — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend schoolFree text: Sinus congestion and tested positive for COVID todayMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Survey response — days 1–6 daily, dose 4MedDRA: SARS-CoV-2 test positive, Sinus congestion — Feeling: Poor · Fever · Be unable to work or attend schoolFree text: Sever sinus congestion- I tested positive for COVID on 10/3MedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Survey response — days 1–6 daily, dose 4MedDRA: SARS-CoV-2 test positive, Sinus congestion — Feeling: Poor · Be unable to work or attend schoolFree text: Sinus congestion & COVID positive testMedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Survey response — day 7, dose 4MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Cough and congestion tested pos for COVIDMedDRA releases: 2024-11 · check-in free text available
- 2022-10-13
- 2022-10-20
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2022-10-27
Survey response — day 28, dose 4MedDRA: Cough, Fatigue — Feeling: FairFree text: Persistent dry cough and fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-11-03
Survey response — day 35, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: I recovered from COVIDMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Survey response — day 42, dose 4MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued coughMedDRA releases: 2024-11 · check-in free text available
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2023-03-30
Survey response — 6 months, dose 4MedDRA: Abdominal distension, Anxiety, Depression, Fall, Fracture, Menopause, Plantar fasciitis, Pre-existing disease, Weight increased — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-30
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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2023-03-31
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-30 | Pfizer-BioNTech | No |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-09-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Hot and cold chills
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sinus congestion and tested positive for COVID today
Systemic reaction (other): Sever sinus congestion- I tested positive for COVID on 10/3
Systemic reaction (other): Sinus congestion & COVID positive test
Release 12 — day 7, dose 4
Systemic reaction (other): Cough and congestion tested pos for COVID
Release 12 — day 28, dose 4
Symptoms: Persistent dry cough and fatigue
Release 12 — day 35, dose 4
Symptoms: I recovered from COVID
Release 12 — day 42, dose 4
Symptoms: Continued cough
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 |
|---|---|---|---|---|
| SD | Abdominal distension | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Fracture | · | · | ✓ |
| SD | Menopause | · | · | ✓ |
| SD | Plantar fasciitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Weight increased | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release