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32E-15444-07419

2 vaccinations 3 coded responses 17 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
103 / NY
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Registered in v-safe
  2. 2021-04-22
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-22
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dissociation — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dissociation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Have joint pain and muscle aches/spasms, and headaches/migraines due to various other chronic illnesses. Ill name the more relevant illnesses -postural orthostatic tachycardia syndrome, orthotic hypotension, Chiari malformation, lupus, upper and lower diffuse Neuropathy, fibromyalgia, Ehlers Danlos Syndrome, 2 past neck surgeries, degenerative disc disease, kyphosis , herniated discs, levoscoliosis, chronic muscle spasms, Kiloh Nevis syndrome,& polyarthritis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-17
    Dose 2 — Pfizer-BioNTech
  11. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Had many of those symptoms, but they were related to other health conditions such as Lupus, Fibromyalgia, Chiari Malformation, Ehlers Danlos Syndrome, etc.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  13. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-06-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-17
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Pfizer-BioNTech
22021-05-17Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Dissociation

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Have joint pain and muscle aches/spasms, and headaches/migraines due to various other chronic illnesses. Ill name the more relevant illnesses -postural orthostatic tachycardia syndrome, orthotic hypotension, Chiari malformation, lupus, upper and lower diffuse Neuropathy, fibromyalgia, Ehlers Danlos Syndrome, 2 past neck surgeries, degenerative disc disease, kyphosis , herniated discs, levoscoliosis, chronic muscle spasms, Kiloh Nevis syndrome,& polyarthritis.

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Had many of those symptoms, but they were related to other health conditions such as Lupus, Fibromyalgia, Chiari Malformation, Ehlers Danlos Syndrome, etc.

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
SRODissociation ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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