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Z8P-28556-25693

4 vaccinations 28 coded responses 53 check-ins 27 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
981 / WA
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
ADU-10329-66379 Child or adolescent in my care · Male · 2022-08-20

Timeline

  1. 2021-03-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hot flush, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Hot flashes & sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Free text: Lack of Focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disturbance in attention — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lack of focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vision blurred — Feeling: Good · Fatigue or tiredness · Be unable to work
    Free text: Lack of focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Headache first thing, but went away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Good · Headache, Fatigue or tiredness · Be unable to work
    Free text: Brain fog/lack of focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Disturbance in attention, Feeling abnormal — Feeling: Good · Headache · Be unable to work
    Free text: Head Fog/Lack of Focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-10
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-10
    Survey response — day 0, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Brain Fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Brain Fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Hot flush — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Brain Fog & Hot Flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Brain Fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Hot flush — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Brain Fog & Hot Flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Free text: Brain Fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Brain Fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-17
    Survey response — day 7, dose 2
    MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Free text: Brain Fog & Lack of Focus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-15
    Survey response — day 35, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-05
    Dose 3 — Pfizer-BioNTech
  28. 2021-11-05
    Survey response — day 0, dose 3
    MedDRA: Self-medication — Feeling: Good · Site: Pain · Headache
    Free text: Took 3 ibruprofen after vaccination
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache
    Free text: Using ibuprofen 1st - 24 hrs.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Self-medication — Feeling: Fair · Site: Pain · Headache
    Free text: Taking ibuprofen for both
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good · Site: Pain
    Free text: Sore armpit under injection site
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Free text: Sore armpit
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Asthenopia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Eye strain
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Brain fog
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-12
    Survey response — day 7, dose 3
    MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Dry cough (infrequent, but present)
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-04
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Head discomfort, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Allergies, pressure headaches, exhaustion
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-10-07
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  44. 2022-10-07
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  45. 2022-10-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  46. 2022-10-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  47. 2022-10-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  48. 2022-10-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  49. 2022-10-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  50. 2022-10-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  51. 2022-10-14
    Health check-in — day 7, dose 4
    Feeling: Fair · Headache
    Adult check-in
  52. 2022-10-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-10-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-11-04
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-11-11
    Survey response — day 35, dose 4
    MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Some coughing, sneezing, sniffles
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-11-18
    Survey response — day 42, dose 4
    MedDRA: Cough — Feeling: Good
    Free text: Infrequent, harsh cough
    MedDRA releases: 2024-11 · check-in free text available
  57. 2023-01-06
    Survey response — 3 months, dose 4
    MedDRA: Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2024-11
  58. 2023-04-09
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Pfizer-BioNTech
22021-04-10Pfizer-BioNTech
32021-11-05Pfizer-BioNTech No
42022-10-07Pfizer-BioNTech Flu

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Hot flashes & sore throat

2021-03-22

Systemic reaction (other): Lack of Focus

2021-03-23

Systemic reaction (other): Lack of focus

2021-03-24

Systemic reaction (other): Lack of focus

2021-03-25

Systemic reaction (other): Headache first thing, but went away.

2021-03-26

Systemic reaction (other): Brain fog/lack of focus

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Head Fog/Lack of Focus

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Brain Fog

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Brain Fog

2021-04-12

Systemic reaction (other): Brain Fog & Hot Flashes

2021-04-13

Systemic reaction (other): Brain Fog

2021-04-14

Systemic reaction (other): Brain Fog & Hot Flashes

2021-04-15

Systemic reaction (other): Brain Fog

2021-04-16

Systemic reaction (other): Brain Fog

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Brain Fog & Lack of Focus

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Headaches

Release 10 — day 0, dose 3

2021-11-05

Systemic reaction (other): Took 3 ibruprofen after vaccination

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Using ibuprofen 1st - 24 hrs.

2021-11-07

Systemic reaction (other): Taking ibuprofen for both

2021-11-08

Systemic reaction (other): Sore armpit under injection site

2021-11-09

Systemic reaction (other): Sore armpit

2021-11-10

Systemic reaction (other): Eye strain

2021-11-11

Systemic reaction (other): Brain fog

Release 10 — day 7, dose 3

2021-11-12

Systemic reaction (other): Dry cough (infrequent, but present)

Release 11 — 3 months, dose 3

2022-02-04

Symptoms: Allergies, pressure headaches, exhaustion

Release 12 — day 35, dose 4

2022-11-11

Symptoms: Some coughing, sneezing, sniffles

Release 12 — day 42, dose 4

2022-11-18

Symptoms: Infrequent, harsh 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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDFatigue · · ✓
SDHead discomfort · · ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SROAsthenopia · · ✓
SROAxillary pain · · ✓
SROBrain fog ✓ ✓ ✓
SROCough · · ✓
SRODisturbance in attention ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROSelf-medication · · ✓
SROVision blurred ✓ ✓ ✓

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

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