2CR-26809-19921
3 vaccinations
3 coded responses
12 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 030 / NH
- Registered
- 2022-02-19
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-05-04
Dose 1 — Pfizer-BioNTech
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2021-06-01
Dose 2 — Pfizer-BioNTech
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2022-02-18
Dose 3 — Pfizer-BioNTech
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2022-02-19
Registered in v-safe
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2022-02-19
Survey response — days 1–6 daily, dose 3MedDRA: Epistaxis — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Nose bleedMedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-02-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-02-22
Survey response — days 1–6 daily, dose 3MedDRA: Blindness unilateral, Headache, Lichen planus, Migraine, Pre-existing disease — Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I have a chronic dermatitis called lichen planer and my symptoms have increased triple fold in two days not my normal flare ups. My migraines have increased triple fold so I'm loosing my eyesight on one eye and experiencing severe headaches as well +MedDRA releases: 2024-11 · check-in free text available
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2022-02-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-02-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
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2022-02-25
Health check-in — day 7, dose 3Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-03-05
- 2022-03-11
- 2022-03-18
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2022-03-25
Survey response — day 35, dose 3MedDRA: Arthralgia, Epistaxis, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My nosebleeds came back & the dew points aren't low plus I keep a humidifier on. My joint aches are back like when I had after getting my 3rd shot. I have joint aches normally in the morning because I'm older but they go away once I get out and takeMedDRA releases: 2024-11 · check-in free text available
- 2022-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Pfizer-BioNTech | No |
| 2 | 2021-06-01 | Pfizer-BioNTech | No |
| 3 | 2022-02-18 | Pfizer-BioNTech | No |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Nose bleed
Systemic reaction (other): I have a chronic dermatitis called lichen planer and my symptoms have increased triple fold in two days not my normal flare ups. My migraines have increased triple fold so I'm loosing my eyesight on one eye and experiencing severe headaches as well + cut off by CDC
Release 11 — day 35, dose 3
Symptoms: My nosebleeds came back & the dew points aren't low plus I keep a humidifier on. My joint aches are back like when I had after getting my 3rd shot. I have joint aches normally in the morning because I'm older but they go away once I get out and take cut off by CDC
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 | Arthralgia | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Blindness unilateral | · | · | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lichen planus | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release