3JA-26321-34285
5 vaccinations
13 coded responses
56 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Pfizer-BioNTech
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Pollakiuria — Feeling: Fair · Joint painsFree text: Urinalysis frequency and loose stools-insure if relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
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2021-04-20
Survey response — day 14, dose 2MedDRA: Ear discomfort, Fatigue, Headache — Feeling: FairFree text: Probable ear infection. Ears blocked, fatigue, mild headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
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2021-07-06
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: FairFree text: Fatigue and probable ear infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-04
Dose 3 — Pfizer-BioNTech
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2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-13
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
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2021-11-15
Survey response — day 42, dose 3MedDRA: Ear infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ear infectionMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Survey response — 3 months, dose 3MedDRA: Ear infection — Feeling: GoodFree text: Ear infection symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Survey response — 6 months, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Hearing difficulties attributed to TMJ arthritis/dysfunctionMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Dose 4 — Pfizer-BioNTech
- 2022-05-18
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-12
- 2022-06-17
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2022-08-05
Survey response — 3 months, dose 4MedDRA: Arthralgia, Rotator cuff syndrome — Feeling: GoodFree text: Rotator cuff issues, knee painMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Dose 5 — ModernaCo-administered: Flu
- 2022-10-14
- 2022-10-15
- 2022-10-16
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2022-10-17
Survey response — days 1–6 daily, dose 5MedDRA: Eye pruritus, Rhinitis allergic — Feeling: Fair · Site: PainFree text: Allergic rhinitis and eye itchingMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Survey response — days 1–6 daily, dose 5MedDRA: Ear discomfort, Respiratory tract congestion, Tinnitus — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stuffiness, ear fullness, and some ringing in one ear. Note there has been a sudden weather changecold temps, wind, and rain-snow mix.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — day 7, dose 5MedDRA: Arthralgia, Arthritis — Feeling: Good · Site: PainFree text: Just FYI the pain is from knee arthritisMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — day 14, dose 5MedDRA: Pre-existing disease — Feeling: GoodFree text: Seasonal allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
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2022-11-09
Survey response — day 28, dose 5MedDRA: Arthralgia, Sciatica — Feeling: GoodFree text: Arthritic sciatic painMedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
- 2022-11-23
- 2023-01-12
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
| 5 | 2022-10-12 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Urinalysis frequency and loose stools-insure if related
Release 7 — day 14, dose 2
Symptoms: Probable ear infection. Ears blocked, fatigue, mild headache.
Release 9 — 3 months, dose 2
Symptoms: Fatigue and probable ear infection
Release 10 — day 42, dose 3
Symptoms: Ear infection
Release 10 — 3 months, dose 3
Symptoms: Ear infection symptoms
Release 11 — 6 months, dose 3
Symptoms: Hearing difficulties attributed to TMJ arthritis/dysfunction
Release 12 — 3 months, dose 4
Symptoms: Rotator cuff issues, knee pain
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Allergic rhinitis and eye itching
Systemic reaction (other): Stuffiness, ear fullness, and some ringing in one ear. Note there has been a sudden weather changecold temps, wind, and rain-snow mix.
Release 12 — day 7, dose 5
Systemic reaction (other): Just FYI the pain is from knee arthritis
Release 12 — day 14, dose 5
Symptoms: Seasonal allergies
Release 12 — day 28, dose 5
Symptoms: Arthritic sciatic pain
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 | Arthralgia | · | · | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Arthritis | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Eye pruritus | · | · | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinitis allergic | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release