Y2N-25271-59337
5 vaccinations
8 coded responses
59 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-27
Dose 1 — Pfizer-BioNTech
-
2021-03-28
Registered in v-safe
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Sinus pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
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2021-04-17
Dose 2 — Pfizer-BioNTech
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2021-04-17
Survey response — day 0, dose 2MedDRA: Sinus pain — Feeling: GoodFree text: sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
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 · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: light-headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-07-17
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2021-10-16
Survey response — 6 months, dose 2MedDRA: Colitis microscopic — Feeling: GoodFree text: Diagnosed with microscopic colitis, underwent 20-wk course of oral steroids (presently in taper) Concerned about booster scheduled on same day as next step down of steroid dosage - may not be able to differentiate symptoms from separate causesMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Dose 3 — Pfizer-BioNTech
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2021-10-23
Survey response — day 0, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Cognitive disorder, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: sore throat, "fuzzy" cognitionMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: rec'd flu shot yesterday (10/25/21), no additional symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
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2022-01-22
Survey response — 3 months, dose 3MedDRA: Influenza like illness, Oropharyngeal pain, Painful respiration, Pyrexia — Feeling: GoodFree text: Approximately 36hrs of low-grade fever and flu-like symptoms, sore throat; residual pain in airways (esp in cold temps) x3wks, slowly resolvingMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Dose 4 — Moderna
- 2022-04-16
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-07-16
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2022-09-26
Dose 5 — Pfizer-BioNTech
- 2022-10-06
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech | |
| 3 | 2021-10-23 | Pfizer-BioNTech | No |
| 4 | 2022-04-16 | Moderna | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): sinus pain
Release 7 — day 0, dose 2
Systemic reaction (other): sinus pain
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): light-headedness
Release 10 — 6 months, dose 2
Symptoms: Diagnosed with microscopic colitis, underwent 20-wk course of oral steroids (presently in taper) Concerned about booster scheduled on same day as next step down of steroid dosage - may not be able to differentiate symptoms from separate causes
Release 10 — day 0, dose 3
Systemic reaction (other): sore throat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): sore throat, "fuzzy" cognition
Systemic reaction (other): rec'd flu shot yesterday (10/25/21), no additional symptoms
Release 11 — 3 months, dose 3
Symptoms: Approximately 36hrs of low-grade fever and flu-like symptoms, sore throat; residual pain in airways (esp in cold temps) x3wks, slowly resolving
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 | Colitis microscopic | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Cognitive disorder | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release