249-13979-16865
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 480 / MI
- Registered
- 2021-06-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-07
Registered in v-safe
-
2021-06-07
Dose 1 — Pfizer-BioNTech
- 2021-06-07
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-11
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-22
-
2021-07-06
Dose 2 — Pfizer-BioNTech
-
2021-07-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-07-08
Survey response — days 1–6 daily, dose 2MedDRA: Depression — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: DepressionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Survey response — days 1–6 daily, dose 2MedDRA: Axillary mass, Reaction to previous exposure to any vaccine, Tenderness — Feeling: Good · Site: PainFree text: I noticed a small (sore to touch) lump at the base of my arm pit On the side of the arm where I received the shot noticed it after the 1st shot didn't think anything of it On the side of the arm where I received the shot noticed it after the 1st shMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-10
- 2021-07-12
- 2021-07-13
-
2021-07-20
Survey response — day 14, dose 2MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: Fatigue like I had a mild cold, headache, congestion cough. Went away after a few daysMedDRA releases: 2024-11 · check-in free text available
- 2021-07-27
- 2021-08-05
- 2021-08-10
- 2021-08-17
- 2021-10-05
- 2022-01-04
-
2022-01-13
Dose 3 — Pfizer-BioNTech
-
2022-01-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-15
Survey response — days 1–6 daily, dose 3MedDRA: Epistaxis — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Nose bleed lasting 5 min. Blew out a small clotMedDRA releases: 2024-11 · check-in free text available
- 2022-01-16
-
2022-01-17
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Self-medication — Feeling: Good · Site: Pain · HeadacheFree text: Re: headache, I think its my sinus. Not related to vaccine. Tylenol gets rid of itMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-02-13
- 2022-02-18
- 2022-02-24
- 2022-04-14
-
2022-07-05
Dose 4 — Pfizer-BioNTech
- 2022-07-05
-
2022-07-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-07-07
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-10-04
- 2023-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-07 | Pfizer-BioNTech | |
| 2 | 2021-07-06 | Pfizer-BioNTech | No |
| 3 | 2022-01-13 | Pfizer-BioNTech | No |
| 4 | 2022-07-05 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Depression
Systemic reaction (other): I noticed a small (sore to touch) lump at the base of my arm pit On the side of the arm where I received the shot noticed it after the 1st shot didn't think anything of it On the side of the arm where I received the shot noticed it after the 1st sh cut off by CDC
Release 9 — day 14, dose 2
Symptoms: Fatigue like I had a mild cold, headache, congestion cough. Went away after a few days
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nose bleed lasting 5 min. Blew out a small clot
Systemic reaction (other): Re: headache, I think its my sinus. Not related to vaccine. Tylenol gets rid of it
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Axillary mass | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release