27M-10189-04662
5 vaccinations
6 coded responses
44 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 288 / NC
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Pfizer-BioNTech
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2021-03-13
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Pfizer-BioNTech
-
2021-04-03
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · DiarrheaAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tirednessFree text: Woke up during night with chills. Was up for most of night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
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2021-05-15
Survey response — day 42, dose 2MedDRA: Diarrhoea, Nausea — Feeling: GoodFree text: Nausea, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-03
Survey response — 3 months, dose 2MedDRA: Liver injury — Feeling: Fair · 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: Discovered I have liver damage - raised liver enzymes and significantly high alk phos. Have had in the past with unknown origin, happened again after vaccine, unknown reason.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-03
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
- 2021-10-07
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2021-11-13
Dose 3 — Pfizer-BioNTech
- 2022-04-03
-
2022-04-08
Dose 4 — Moderna
- 2022-04-24
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-22
- 2022-07-10
- 2022-10-08
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2022-10-09
Dose 5 — Other-Unknown
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2022-10-12
Survey response — days 1–6 daily, dose 5MedDRA: Arthritis, Gastrointestinal disorder — Feeling: Good · Joint pains, DiarrheaFree text: Arthritis, taking iron supplements that mess with my digestion.MedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Arthritis — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Got regular flu shot yesterday, arthritisMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — days 1–6 daily, dose 5MedDRA: Arthritis, Nodule — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Still some symptoms from flu shot, I think. Muscle knot in shoulder on side where I got booster shot. Arthritis.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-15
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
- 2023-01-08
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Pfizer-BioNTech | |
| 2 | 2021-04-03 | Pfizer-BioNTech | |
| 3 | 2021-11-13 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-10-09 | Other-Unknown | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up during night with chills. Was up for most of night.
Release 8 — day 42, dose 2
Symptoms: Nausea, diarrhea
Release 9 — 3 months, dose 2
Symptoms: Discovered I have liver damage - raised liver enzymes and significantly high alk phos. Have had in the past with unknown origin, happened again after vaccine, unknown reason.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arthritis, taking iron supplements that mess with my digestion.
Systemic reaction (other): Got regular flu shot yesterday, arthritis
Systemic reaction (other): Still some symptoms from flu shot, I think. Muscle knot in shoulder on side where I got booster shot. Arthritis.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Liver injury | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | Nodule | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release