2UY-15736-23556
4 vaccinations
7 coded responses
35 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 024 / MA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-24
Dose 1 — Pfizer-BioNTech
- 2021-01-24
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
- 2021-01-27
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Survey response — day 7, dose 1MedDRA: Gait disturbance, Nail discolouration, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Toe has been hurting since day after shot - coincidence? Noticed blue streak like inflamed blood vessel? Very sore to touch - cant walk on itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-14
-
2021-02-16
Dose 2 — Pfizer-BioNTech
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Discomfort, Sleep disorder — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Ache/pressure in armpit; awake all nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-03-03
- 2021-03-10
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-05-18
Survey response — 3 months, dose 2MedDRA: Axillary pain, Condition aggravated, Pre-existing disease, Self-medication, Skin cancer, Skin neoplasm excision — Feeling: FairFree text: Left axilla pain. Severe after vaccinated then got somewhat better but not gone away. Had surgery on upper arm to excise skin ca and got worse. May seek care but taking Tylenol and topical Voltaire given for another purpose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-17
Survey response — 6 months, dose 2MedDRA: Diverticulitis, Hospitalisation, Myocardial infarction — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Heart attack 6/22 and diverticulitis 6/30 (ongoing) · Healthcare visit (other): 2 admissionsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-10-08
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2021-10-12
Dose 3 — Pfizer-BioNTech
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2022-02-17
Survey response — 12 months, dose 2MedDRA: Hepatic enzyme increased, Pre-existing disease, Systemic lupus erythematosus, Systemic lupus erythematosus disease activity inde — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: 1. SLE tests suggest flare up 2. New elevation of liver enzymesMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-02-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-06-26
Dose 4 — Moderna
- 2022-06-26
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2022-06-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-06-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-06-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-07-05
- 2022-07-10
- 2022-07-19
- 2022-07-24
- 2022-08-02
- 2022-08-07
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2022-09-25
Survey response — 3 months, dose 4MedDRA: Diverticulitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: DiverticulitisMedDRA releases: 2024-11 · check-in free text available
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2022-09-25
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-27
- 2022-12-25
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2023-06-27
Survey response — 12 months, dose 4MedDRA: Oropharyngeal discomfort, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-06-26 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Toe has been hurting since day after shot - coincidence? Noticed blue streak like inflamed blood vessel? Very sore to touch - cant walk on it
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Ache/pressure in armpit; awake all night
Release 8 — 3 months, dose 2
Symptoms: Left axilla pain. Severe after vaccinated then got somewhat better but not gone away. Had surgery on upper arm to excise skin ca and got worse. May seek care but taking Tylenol and topical Voltaire given for another purpose.
Release 9 — 6 months, dose 2
Symptoms: Heart attack 6/22 and diverticulitis 6/30 (ongoing)
Healthcare visit (other): 2 admissions
Release 11 — 12 months, dose 2
Symptoms: 1. SLE tests suggest flare up 2. New elevation of liver enzymes
Release 12 — 3 months, dose 4
Symptoms: Diverticulitis
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 | Hospitalisation | ✓ | · | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diverticulitis | ✓ | · | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Myocardial infarction | ✓ | · | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin cancer | ✓ | ✓ | ✓ |
| SD | Skin neoplasm excision | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | · | · | ✓ |
| SD | Systemic lupus erythematosus disease activity inde | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Nail discolouration | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release