37F-96468-23608
2 vaccinations
8 coded responses
20 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 926 / CA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Dose 1 — Pfizer-BioNTech
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2021-03-30
Registered in v-safe
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Site: Pain · HeadacheFree text: SleeplessnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Sinus headache — Feeling: FairFree text: Sinus headache likely from seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
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2021-04-12
Survey response — day 14, dose 1MedDRA: Diarrhoea, Muscle spasms — Feeling: FairFree text: Cramping and diarrhea started today - may be unrelated to vaccine (?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 21, dose 1MedDRA: Diarrhoea, Muscle spasms, Pre-existing disease — Feeling: GoodFree text: GI symptoms - diarrhea and cramping . I have history of IBS and recent abdominal surgery ( partial nephrectomy) which may be the causeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Pfizer-BioNTech
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Injection site reaction, Self-medication — Feeling: GoodFree text: I had chills, headache, fatigue on afternoon of Thursday, August 22nd (about 24 hrs after 2nd shot) lasted until I went to bed that night - I too Tylenol, abs woke up fine the next day. No fever at any time. Had site arm at injection site starting about 4 hours after shot and lasting about 24 hrs totalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
- 2021-05-05
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2021-05-12
Survey response — day 21, dose 2MedDRA: Back pain, Muscle spasms — Feeling: GoodFree text: Had some low back pain and spasms , but may have been due to other causes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-26
- 2021-06-02
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2021-07-21
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Sinus headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus headaches - probably seasonal allergies since I get those in July most yearsMedDRA releases: 2024-11 · check-in free text available
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2021-07-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
- 2021-10-20
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2022-04-21
Survey response — 12 months, dose 2MedDRA: Bursitis — Feeling: GoodFree text: Bursitis in left hip and left bicep.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sleeplessness
Systemic reaction (other): Sinus headache likely from seasonal allergies
Release 7 — day 14, dose 1
Symptoms: Cramping and diarrhea started today - may be unrelated to vaccine (?)
Release 7 — day 21, dose 1
Symptoms: GI symptoms - diarrhea and cramping . I have history of IBS and recent abdominal surgery ( partial nephrectomy) which may be the cause
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I had chills, headache, fatigue on afternoon of Thursday, August 22nd (about 24 hrs after 2nd shot) lasted until I went to bed that night - I too Tylenol, abs woke up fine the next day. No fever at any time. Had site arm at injection site starting about 4 hours after shot and lasting about 24 hrs total
Release 8 — day 21, dose 2
Symptoms: Had some low back pain and spasms , but may have been due to other causes.
Release 9 — 3 months, dose 2
Symptoms: Sinus headaches - probably seasonal allergies since I get those in July most years
Release 11 — 12 months, dose 2
Symptoms: Bursitis in left hip and left bicep.
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release