3JG-15946-11856
5 vaccinations
16 coded responses
52 check-ins
14 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 949 / CA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-01
Dose 1 — Pfizer-BioNTech
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2021-03-22
Registered in v-safe
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2021-03-22
Dose 2 — Pfizer-BioNTech
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2021-03-22
Survey response — day 0, dose 2MedDRA: Dyspnoea — Feeling: Fair · Chills, HeadacheFree text: Some shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Middle insomnia, Night sweats, Pyrexia — Feeling: Good · Fever · Chills · Be unable to do your normal daily activitiesFree text: I woke up at 4:45 with night sweats - this is what makes me think I had a fever. After I cooled down, I then got chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Middle insomnia, Night sweats — Feeling: GoodFree text: Had a bit of night sweats again, but not as bad as yesterday .... not enough to wake me out of a deep sleep like the day beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
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2021-04-05
Survey response — day 14, dose 2MedDRA: Acupuncture, Dyspnoea, Hypersensitivity, Respiratory tract congestion, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergies very bad. Causing congestion in lungs and shortness of breath. · Healthcare visit (other): Acupuncture & therapeutic massage (along with regular Rx & OTC medications)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-12
Survey response — day 21, dose 2MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: At times, extreme shortness of breath and severe allergy symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 28, dose 2MedDRA: Dyspnoea, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Extreme allergies and shortness of breath. Using both steroid and rescue inhalers, and sometimes this is insufficient. Also aided by acupuncture, therapeutic massage and chiropractic treatments.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
- 2021-05-03
- 2021-06-21
- 2021-06-21
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2021-06-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-09-20
Survey response — 6 months, dose 2MedDRA: Acupuncture, Asthma, Pre-existing disease, Skin odour abnormal — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: More issues with bronchial-asthma conditions than in the past. Dont know if related to vaccine or extreme poor AQ due to wildfires.Bad perspiration odor over last several months that Ive never experienced before. · Healthcare visit (other): Acupuncture and increased use of both steroid and rescue inhalersMedDRA releases: 2024-11 · check-in free text available
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2021-09-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-23
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2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
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2022-04-01
Survey response — 6 months, dose 3MedDRA: Dry mouth, Hypersensitivity, Swelling — Feeling: GoodFree text: Very dry mouth that results in high sensitivity and sometimes swelling, much like an allergic reaction. Have not been able to rule any allergen source out yet. Will seek medical help soon if continues to persist.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Hypersensitivity — Feeling: GoodFree text: Still have allergic reaction in mouth - 99% confident it's an allergy to toothpasteMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-15
- 2022-05-20
- 2022-07-08
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2022-10-05
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
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2022-10-19
Survey response — day 14, dose 5MedDRA: Adverse reaction, Ear pain, Gingival disorder, Palatal disorder, Rhinorrhoea — Feeling: FairFree text: Allergy issues - runny nose, earache - very typical for mid-October for me. Some problems with my gums and soft palate. I think it is either a food allergy or I'm now allergic to this toothpaste (along with several others).MedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — day 21, dose 5MedDRA: Ear pain, Gingival bleeding, Gingival disorder, Mouth haemorrhage, Pre-existing disease, SARS-CoV-2 test negative, Stomatitis — Feeling: GoodFree text: Have had seasonal allergies and possibly a cold, related ear ache, and finally have gotten whatever was causing gums and soft palate to be raw/bleed to clear up. Test for COVID-19 was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-09
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2022-11-16
Survey response — day 42, dose 5MedDRA: Pulmonary congestion, Respiratory tract congestion — Feeling: GoodFree text: Congestion in head and lungsMedDRA releases: 2024-11 · check-in free text available
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2023-01-04
Survey response — 3 months, dose 5MedDRA: COVID-19, Dyspnoea, Fatigue, Nasopharyngitis, Office visit, Oropharyngeal pain, Rhinorrhoea, Somnolence, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-05
Survey response — 6 months, dose 5MedDRA: Ear congestion, Pre-existing disease — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Some shortness of breath
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Shortness of breath
Systemic reaction (other): I woke up at 4:45 with night sweats - this is what makes me think I had a fever. After I cooled down, I then got chills.
Systemic reaction (other): Had a bit of night sweats again, but not as bad as yesterday .... not enough to wake me out of a deep sleep like the day before
Release 6 — day 14, dose 2
Symptoms: Allergies very bad. Causing congestion in lungs and shortness of breath.
Healthcare visit (other): Acupuncture & therapeutic massage (along with regular Rx & OTC medications)
Release 7 — day 21, dose 2
Symptoms: At times, extreme shortness of breath and severe allergy symptoms
Release 7 — day 28, dose 2
Symptoms: Extreme allergies and shortness of breath. Using both steroid and rescue inhalers, and sometimes this is insufficient. Also aided by acupuncture, therapeutic massage and chiropractic treatments.
Release 9 — 6 months, dose 2
Symptoms: More issues with bronchial-asthma conditions than in the past. Dont know if related to vaccine or extreme poor AQ due to wildfires.Bad perspiration odor over last several months that Ive never experienced before.
Healthcare visit (other): Acupuncture and increased use of both steroid and rescue inhalers
Release 11 — 6 months, dose 3
Symptoms: Very dry mouth that results in high sensitivity and sometimes swelling, much like an allergic reaction. Have not been able to rule any allergen source out yet. Will seek medical help soon if continues to persist.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Still have allergic reaction in mouth - 99% confident it's an allergy to toothpaste
Release 11 — day 7, dose 4
Systemic reaction (other): No
Release 12 — day 14, dose 5
Symptoms: Allergy issues - runny nose, earache - very typical for mid-October for me. Some problems with my gums and soft palate. I think it is either a food allergy or I'm now allergic to this toothpaste (along with several others).
Release 12 — day 21, dose 5
Symptoms: Have had seasonal allergies and possibly a cold, related ear ache, and finally have gotten whatever was causing gums and soft palate to be raw/bleed to clear up. Test for COVID-19 was negative.
Release 12 — day 42, dose 5
Symptoms: Congestion in head and lungs
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 |
|---|---|---|---|---|
| HCVO | Acupuncture | ✓ | ✓ | ✓ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gingival bleeding | · | · | ✓ |
| SD | Gingival disorder | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Mouth haemorrhage | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palatal disorder | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary congestion | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin odour abnormal | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | · | · | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release