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2T4-30469-12287

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
856 / AZ
Registered
2021-03-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-20
    Registered in v-safe
  3. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-28
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Back pain, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe lower back pain. Left side. Left leg, very swollen. Moderate pain, left knee. Had partial knee replacement in Oct. 2020. None of this is COVID-19 related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-04
    Survey response — day 21, dose 1
    MedDRA: Dizziness, Fatigue, Feeling abnormal, Gait disturbance, Hypotension — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Very dizzy, light headed, fatigued, stumbled but never fell. Sense, Tues. Checked B/P, Fri. 58/42. Stopped taking Lisinopril. B/P now 109/46. Feel strange.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-06
    Dose 2 — Pfizer-BioNTech
  8. 2021-04-20
    Survey response — day 14, dose 2
    MedDRA: Abdominal distension, Diarrhoea, Faeces discoloured, Injection site erythema, Rectal haemorrhage — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Severe diarrhea past 5 days. Very bloated,very painful cramps, bad smelling gas, explosive diarrhea. Rectal bleeding, more then usual. Bright red.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-10-05
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2022-04-06
    Survey response — 12 months, dose 2
    MedDRA: Back pain, Chronic kidney disease, Intervertebral disc protrusion, Spinal compression fracture, Spinal cord compression — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Stage 4 Kidney disease. Lumber: severe pain, disc bulging on nerves, compression of vertebra, putting pressure on spinal column.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-14Pfizer-BioNTech
22021-04-06Pfizer-BioNTech

Free text

Release 6 — day 14, dose 1

2021-03-28

Symptoms: Severe lower back pain. Left side. Left leg, very swollen. Moderate pain, left knee. Had partial knee replacement in Oct. 2020. None of this is COVID-19 related.

Release 6 — day 21, dose 1

2021-04-04

Symptoms: Very dizzy, light headed, fatigued, stumbled but never fell. Sense, Tues. Checked B/P, Fri. 58/42. Stopped taking Lisinopril. B/P now 109/46. Feel strange.

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Severe diarrhea past 5 days. Very bloated,very painful cramps, bad smelling gas, explosive diarrhea. Rectal bleeding, more then usual. Bright red.

Release 11 — 12 months, dose 2

2022-04-06

Symptoms: Stage 4 Kidney disease. Lumber: severe pain, disc bulging on nerves, compression of vertebra, putting pressure on spinal column.

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
SDAbdominal distension ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChronic kidney disease · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFaeces discoloured ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDHypotension ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDIntervertebral disc protrusion · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDRectal haemorrhage ✓ ✓ ✓
SDSpinal compression fracture · · ✓
SDSpinal cord compression · · ✓

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