NUM-19153-19659
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 600 / IL
- Registered
- 2021-09-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-12
Dose 1 — Pfizer-BioNTech
-
2021-09-15
Registered in v-safe
- 2021-09-15
- 2021-09-16
- 2021-09-17
- 2021-09-18
- 2021-09-19
-
2021-10-03
Dose 2 — Pfizer-BioNTech
-
2021-10-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, DiarrheaAdult check-in
- 2021-10-06
- 2021-10-08
- 2021-10-09
-
2021-10-10
Survey response — day 7, dose 2MedDRA: Migraine — Feeling: Good · Fatigue or tirednessFree text: MigraineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-17
- 2021-10-24
- 2021-11-01
- 2021-11-07
- 2021-11-14
-
2022-01-02
Survey response — 3 months, dose 2MedDRA: Cough, Myalgia, Pyrexia, Respiratory tract congestion — 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 visitFree text: Congestion, cough, fever, muscle achesMedDRA releases: 2024-11 · check-in free text available
-
2022-01-02
Report sent to call center — 3 months, dose 2Be 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)
-
2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-31
Dose 3 — Moderna
-
2022-04-03
Survey response — 6 months, dose 2MedDRA: Arthralgia, Fatigue, Injection site pain, Joint range of motion decreased, Myalgia, Nausea, Pyrexia — Feeling: GoodFree text: I got my booster (Moderna) 3 days ago and two days ago I felt joint and muscle pain, nausea, fatigue, injection site pain that limited my range of motion and I had a low grade fever. I was fine yesterday.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — day 28, dose 3MedDRA: Cough, Office visit, Oropharyngeal pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have a runny, occassion cough and occassional sore throat · Healthcare visit (other): OB 38 week checkMedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-05
- 2022-05-12
- 2022-06-30
- 2022-10-01
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-12 | Pfizer-BioNTech | No |
| 2 | 2021-10-03 | Pfizer-BioNTech | No |
| 3 | 2022-03-31 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — day 7, dose 2
Systemic reaction (other): Migraine
Release 10 — 3 months, dose 2
Symptoms: Congestion, cough, fever, muscle aches
Release 11 — 6 months, dose 2
Symptoms: I got my booster (Moderna) 3 days ago and two days ago I felt joint and muscle pain, nausea, fatigue, injection site pain that limited my range of motion and I had a low grade fever. I was fine yesterday.
Release 11 — day 28, dose 3
Symptoms: I have a runny, occassion cough and occassional sore throat
Healthcare visit (other): OB 38 week check
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 | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Joint range of motion decreased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release