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Z36-10968-23944

5 vaccinations 9 coded responses 53 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
931 / CA
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-30
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Nausea
    Adult check-in
  6. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia oral — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Forgot to tell having slight numbness around my mouth on the first day only.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-06
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  8. 2021-02-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-19
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Insomnia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Headache, insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good · Muscle or body aches
    Free text: I am so old I dont know if mild muscle pain is from that or vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-10-05
    Dose 3 — Pfizer-BioNTech
  23. 2021-10-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  24. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Joint pains
    Adult check-in
  25. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  26. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache, Self-medication — Feeling: Good
    Free text: Headache last night, severe. Took 2 Advil, helped.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  30. 2021-10-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-05-05
    Dose 4 — Pfizer-BioNTech
  39. 2022-05-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good · Muscle or body aches
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-12
    Survey response — day 7, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches
    Free text: I am 85 year old, so pains and aches are pretty common.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-06-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-09
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-06-16
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-08-04
    Survey response — 3 months, dose 4
    MedDRA: Chills, Fatigue, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Chills, headaches, fatigue last week.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-08-04
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  49. 2022-08-05
  50. 2022-10-10
    Dose 5 — Pfizer-BioNTech
  51. 2022-10-14
    Survey response — days 1–6 daily, dose 5
    MedDRA: Chills, Fatigue, Headache — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: Very fatigued for about 20 hrs post vaccinated, mild headache, some chills. All went away in less than 24 hrs.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-10-15
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  53. 2022-10-16
    Survey response — days 1–6 daily, dose 5
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Headache is very mild.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-10-17
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  55. 2022-10-24
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  56. 2022-10-31
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  57. 2022-11-07
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  58. 2022-11-14
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  59. 2022-11-21
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  60. 2023-01-09
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  61. 2023-04-10
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-30Pfizer-BioNTech
22021-02-19Pfizer-BioNTech
32021-10-05Pfizer-BioNTech No
42022-05-05Pfizer-BioNTech No
52022-10-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-08-04 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Forgot to tell having slight numbness around my mouth on the first day only.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Headache, insomnia

2021-02-24

Systemic reaction (other): I am so old I dont know if mild muscle pain is from that or vaccine.

Release 10 — days 1–6 daily, dose 3

2021-10-10

Systemic reaction (other): Headache last night, severe. Took 2 Advil, helped.

Release 11 — days 1–6 daily, dose 4

2022-05-10

Systemic reaction (other): No

Release 11 — day 7, dose 4

2022-05-12

Systemic reaction (other): I am 85 year old, so pains and aches are pretty common.

Release 12 — 3 months, dose 4

2022-08-04

Symptoms: Chills, headaches, fatigue last week.

Release 12 — days 1–6 daily, dose 5

2022-10-14

Systemic reaction (other): Very fatigued for about 20 hrs post vaccinated, mild headache, some chills. All went away in less than 24 hrs.

2022-10-16

Systemic reaction (other): Headache is very mild.

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
SDChills · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SROChills · · ✓
SROFatigue · · ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONo adverse event · · ✓
SROPre-existing disease · · ✓
SROSelf-medication · · ✓

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

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