2JU-31027-54519
4 vaccinations
4 coded responses
22 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Pfizer-BioNTech
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — day 21, dose 2MedDRA: Arthralgia, Lymph node pain, Lymphadenopathy, Myalgia, Pain, Pruritus, Skin discolouration, Unevaluable event, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Forgot to say earlier, swollen tender lymphnodes under left arm, last couple days have been more painful, seeming to radiate throughout shoulder & muscle. Have developed strange reddish-purple spots on lower right leg, sometimes itch. Have UTI. · Healthcare visit (other): Have doctor visit tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
-
2021-03-23
Survey response — day 35, dose 2MedDRA: Inflammation — Feeling: Good · 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: Nerve inflammation from neck thru left shoulder, arm & handMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-20
- 2021-08-18
-
2021-10-03
Dose 3 — Pfizer-BioNTech
-
2021-12-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-16
-
2022-05-01
Dose 4 — Pfizer-BioNTech
-
2022-05-27
Survey response — day 21, dose 4MedDRA: Pre-existing disease, Tinnitus — Feeling: FairFree text: Tinnitus has worsened significantly, before 2nd shot and gradually worse since boosters.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
- 2022-06-05
-
2022-06-12
Survey response — day 42, dose 4MedDRA: Abdominal discomfort, Fatigue, Headache, Nausea, Somnolence, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had headache, nausea, gastro discomfort, extreme fatigue, sleeping, for one day. Some days more loud, constant, tinnitus.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-10-03 | Pfizer-BioNTech | No |
| 4 | 2022-05-01 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 21, dose 2
Symptoms: Forgot to say earlier, swollen tender lymphnodes under left arm, last couple days have been more painful, seeming to radiate throughout shoulder & muscle. Have developed strange reddish-purple spots on lower right leg, sometimes itch. Have UTI.
Healthcare visit (other): Have doctor visit tomorrow
Release 6 — day 35, dose 2
Symptoms: Nerve inflammation from neck thru left shoulder, arm & hand
Release 11 — day 21, dose 4
Symptoms: Tinnitus has worsened significantly, before 2nd shot and gradually worse since boosters.
Release 12 — day 42, dose 4
Symptoms: Had headache, nausea, gastro discomfort, extreme fatigue, sleeping, for one day. Some days more loud, constant, tinnitus.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release