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2XK-23921-54759

4 vaccinations 14 coded responses 46 check-ins 14 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
828 / WY
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Registered in v-safe
  2. 2021-02-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-09
    Survey response — day 14, dose 1
    MedDRA: Pruritus, Rash, Rash pruritic, Tinnitus — Feeling: Good
    Free text: Itching skin rash and ear ringing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-16
    Dose 2 — Pfizer-BioNTech
  11. 2021-03-16
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Slight brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Right axilla very sore this was the side my injection was on
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Right Axilla pain the arm I got the injection in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good
    Free text: Ear ringing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  17. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-23
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-13
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea, Fatigue, Nausea, Pyrexia — Feeling: Poor
    Free text: Diarrhea fever nausea fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-20
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-27
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea, Headache — Feeling: Good
    Free text: Diarrhea headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-15
    Survey response — 3 months, dose 2
    MedDRA: Sjogren's syndrome, Systemic lupus erythematosus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Lupus and Sjögrens syndrome
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-06-15
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-06-23
  27. 2021-06-30
  28. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-20
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-20
    Health check-in — day 0, dose 3
    Feeling: Fair · None
    Adult check-in
  31. 2021-10-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Diarrhea
    Adult check-in
  32. 2021-10-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest pain, Injection site pain, Musculoskeletal pain, Pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Free text: The soreness from my injection site is running into my scapula area and my front chest radiating from my injection site
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  34. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  35. 2021-10-27
    Health check-in — day 7, dose 3
    Feeling: Fair · Joint pains
    Adult check-in
  36. 2021-11-03
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-24
    Survey response — day 35, dose 3
    MedDRA: Tinnitus — Feeling: Good
    Free text: Ear ringing again
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-21
    Survey response — 3 months, dose 3
    MedDRA: Abdominal discomfort, Headache — Feeling: Poor
    Free text: Stomach upset headache
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-04-13
    Dose 4 — Pfizer-BioNTech
  43. 2022-04-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school
    Free text: Lymph nodes swollen
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-04-16
    Survey response — days 1–6 daily, dose 4
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Axilla lymph node pain on the same side of the shot
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-04-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-05-11
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-13
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-10-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Pfizer-BioNTech
22021-03-16Pfizer-BioNTech
32021-10-20Pfizer-BioNTech No
42022-04-13Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Itching skin rash and ear ringing

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Slight brain fog

2021-03-18

Systemic reaction (other): Right axilla very sore this was the side my injection was on

2021-03-19

Systemic reaction (other): Right Axilla pain the arm I got the injection in

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Ear ringing

Release 7 — day 28, dose 2

2021-04-13

Symptoms: Diarrhea fever nausea fatigue

Release 7 — day 35, dose 2

2021-04-20

Symptoms: Diarrhea

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Diarrhea headaches

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Lupus and Sjögrens syndrome

Release 10 — days 1–6 daily, dose 3

2021-10-22

Systemic reaction (other): The soreness from my injection site is running into my scapula area and my front chest radiating from my injection site

Release 10 — day 35, dose 3

2021-11-24

Symptoms: Ear ringing again

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Stomach upset headache

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): Lymph nodes swollen

2022-04-16

Systemic reaction (other): Axilla lymph node pain on the same side of the shot

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 discomfort · · ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPruritus ✓ ✓ ○
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic · · ✓
SDSjogren's syndrome ✓ ✓ ✓
SDSystemic lupus erythematosus ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROChest pain · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROInjection site pain · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy · · ✓
SROMusculoskeletal pain · · ✓
SROPain · · ✓
SROTinnitus ✓ ✓ ✓

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