2T9-33913-04034
4 vaccinations
9 coded responses
24 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-14
Dose 1 — Pfizer-BioNTech
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2021-01-27
Registered in v-safe
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2021-01-28
Survey response — day 14, dose 1MedDRA: Anxiety, Headache, Insomnia, Pre-existing disease — Feeling: FairFree text: Daily headaches. Increased anxiety symptoms at night. Insomnia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Dose 2 — Pfizer-BioNTech
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2021-02-04
Survey response — day 0, dose 2MedDRA: Hot flush — Feeling: Fair · Site: Pain · HeadacheFree text: Hot flashes every 5-10 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-18
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2021-02-25
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Very tired. Still having headaches every day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 28, dose 2MedDRA: Rash — Feeling: GoodFree text: Unexplained painful rash on upper back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
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2021-10-21
Dose 3 — Pfizer-BioNTechCo-administered: Shingles
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2022-02-04
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Fatigue, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Difficulty breathing, vision, fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Dose 4 — Moderna
- 2022-05-05
- 2022-05-11
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2022-05-18
Survey response — day 21, dose 4MedDRA: Blindness unilateral, Eye pain, Visual impairment — Feeling: GoodFree text: Periodic left eye partial vision loss and pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
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2022-06-01
Survey response — day 35, dose 4MedDRA: Blindness transient, Blindness unilateral, Eye haemorrhage, Eye pain, Ocular discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Periodic loss of sight in left eye with pain/pressure. New right eye pain with broken blood vessels, also pain and discomfort.MedDRA releases: 2024-11 · check-in free text available
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2022-06-10
Survey response — day 42, dose 4MedDRA: Surgery — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Survey response — 3 months, dose 4MedDRA: Blindness unilateral — Feeling: GoodFree text: Periodic left eye vision lossMedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | Shingles |
| 4 | 2022-04-27 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: Daily headaches. Increased anxiety symptoms at night. Insomnia.
Release 3 — day 0, dose 2
Systemic reaction (other): Hot flashes every 5-10 minutes.
Release 4 — day 21, dose 2
Symptoms: Very tired. Still having headaches every day.
Release 5 — day 28, dose 2
Symptoms: Unexplained painful rash on upper back.
Release 11 — 12 months, dose 2
Symptoms: Difficulty breathing, vision, fatigue.
Release 11 — day 21, dose 4
Symptoms: Periodic left eye partial vision loss and pain.
Release 11 — day 35, dose 4
Symptoms: Periodic loss of sight in left eye with pain/pressure. New right eye pain with broken blood vessels, also pain and discomfort.
Release 12 — day 42, dose 4
Symptoms: Surgery
Release 12 — 3 months, dose 4
Symptoms: Periodic left eye vision loss
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Blindness transient | · | · | ✓ |
| SD | Blindness unilateral | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Eye haemorrhage | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Ocular discomfort | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release