2W5-12357-83795
4 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 908 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
4UY-26213-16008
Adult relative or friend · Male · 2021-10-10
C39-13124-16149
Child or adolescent in my care · Female · 2022-07-12
TDH-20002-68306
Child or adolescent in my care · Male · 2022-07-22
Timeline
-
2021-02-22
Dose 1 — Pfizer-BioNTech
-
2021-03-05
Registered in v-safe
-
2021-03-05
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-08
-
2021-03-18
Dose 2 — Pfizer-BioNTech
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Soreness on entire Left arm from shoulder to wrist. Pinprinkling feeling on left clavicle area that comes & goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Mild numbness & tingling on left arm from shoulder to hand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 2MedDRA: Injection site discomfort, Injection site induration, Injection site pain, Malaise, Mobility decreased, Myalgia, Pain, Pain in extremity, Skin tightness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Recurring moderate pain to left arm muscle. Feel discomfort and some pain & tightness at injection site when lifting arm above shoulder level. Also some pain when lifting or grabbing something with left hand. Feels hard to touch at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-15
- 2021-04-22
-
2021-04-29
Survey response — day 42, dose 2MedDRA: Heavy menstrual bleeding, Uterine spasm — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heavier menstrual flow lasting longer than usual, with moderate uterine cramps. Cramps began 1 day before cycle and lasted 1 week. No previous experience of cramps before vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-09-17
-
2021-10-09
Dose 3 — Pfizer-BioNTech
-
2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-16
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-13
- 2021-11-22
- 2022-01-09
- 2022-04-09
-
2022-10-01
Dose 4 — Pfizer-BioNTech
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2022-10-02
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swelling of both arms. Redness and itching on right forearm(not the arm of injection site)MedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Feeling hot, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling, redness & warmth on both forearms.MedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-10
- 2022-10-17
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
| 4 | 2022-10-01 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness on entire Left arm from shoulder to wrist. Pinprinkling feeling on left clavicle area that comes & goes.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Mild numbness & tingling on left arm from shoulder to hand.
Release 6 — day 14, dose 2
Symptoms: Recurring moderate pain to left arm muscle. Feel discomfort and some pain & tightness at injection site when lifting arm above shoulder level. Also some pain when lifting or grabbing something with left hand. Feels hard to touch at injection site.
Release 8 — day 42, dose 2
Symptoms: Heavier menstrual flow lasting longer than usual, with moderate uterine cramps. Cramps began 1 day before cycle and lasted 1 week. No previous experience of cramps before vaccine.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swelling of both arms. Redness and itching on right forearm(not the arm of injection site)
Systemic reaction (other): Swelling, redness & warmth on both forearms.
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 | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ○ |
| SD | Mobility decreased | ✓ | ✓ | ○ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Skin tightness | · | · | ✓ |
| SD | Uterine spasm | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release