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3QD-18558-79714

6 vaccinations 21 coded responses 57 check-ins 20 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
931 / CA
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-07
    Registered in v-safe
  2. 2021-04-07
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-07
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Chills
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Muscle or body aches
    Adult check-in
  7. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-14
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  11. 2021-04-21
    Survey response — day 14, dose 1
    MedDRA: Breast pain, Breast tenderness — Feeling: Good
    Free text: Fire-like pain in breast closest to vaccine injection site. Pain starts out mild upon touch, then rapidly escalates into intense fire-like pain. Afterwards the pain slowly subsides.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-28
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Good · Fever · Muscle or body aches, Diarrhea
    Free text: Insomnia, probably from the ARB I'm taking.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Fever · Headache, Muscle or body aches
    Free text: Stiff neck on vax side, where pain was right after being vaccinated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  17. 2021-05-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia, Muscle twitching — Feeling: Good · Fever · Chills, Joint pains, Muscle or body aches
    Free text: insomnia, leg muscles twitching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-05
    Survey response — day 7, dose 2
    MedDRA: Muscle twitching — Feeling: Good · Fever
    Free text: twitching leg muscles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-26
    Survey response — day 28, dose 2
    MedDRA: Depressed mood, Malaise — Feeling: Good
    Free text: Felt like I was coming down with a virus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-02
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea, loose stools
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-28
    Survey response — 3 months, dose 2
    MedDRA: Blood urine present, Diarrhoea, Gamma-glutamyltransferase increased, Hypersensitivity, Pre-existing disease, Self-medication — Feeling: Good
    Free text: Trace of blood in urine, elevated GGT (liver) number. Saw elevated GGT last year, blood in urine is new.Allergies worse, started 1.5 months early.Diarrhea - not uncommon for me during the summer. Probiotics help. Anti-diarrhea meds a last resort.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2021-09-23
    Dose 3 — Pfizer-BioNTech
  26. 2021-10-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-28
    Survey response — day 35, dose 3
    MedDRA: Neck pain, Pain in extremity, Pyrexia — Feeling: Good
    Free text: Low grade fever, achy arm and neck.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-04
    Survey response — day 42, dose 3
    MedDRA: Disturbance in attention, Fatigue, Oropharyngeal pain, Paranasal sinus inflammation, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, sore inflamed sinus tissues, fatigue, difficulty concentrating
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-25
    Survey response — 3 months, dose 3
    MedDRA: Pain of skin, Pruritus, Skin burning sensation, Skin disorder — Feeling: Good
    Free text: Skin problems on upper left side of back, near vax site. Sometimes itchy, frequently painful, sometimes burns like a sunburn. That area gets no sun exposure. This all started around the time I received my first vax. I thought it was allergies.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-03-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-06-09
    Dose 4 — Pfizer-BioNTech
  32. 2022-06-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: I was so tired from the vaccination that I slept 12 hours last night.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-06-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Sensory disturbance, Visual impairment — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Abrupt onset of visual aberrations in eye closest to injection site. Started around 11 PM the day after receiving the vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-06-13
    Survey response — days 1–6 daily, dose 4
    MedDRA: Visual impairment — Feeling: Good · Fatigue or tiredness
    Free text: Visual aberrations continue. Today there are a spiral, clouds, and a dot, all in eye closest to injection site.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-06-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-06-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Visual impairment — Feeling: Good · Headache
    Free text: Visual aberrations in eye closest to injection site continue.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-06-16
    Survey response — day 7, dose 4
    MedDRA: Visual impairment — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Visual aberrations in eye closest to injection site are waning.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-06-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-07-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-07-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-07-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-09-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-11-17
    Dose 5 — Pfizer-BioNTech
  45. 2022-11-17
    Health check-in — day 0, dose 5
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  46. 2022-11-18
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  47. 2022-11-19
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Swelling · Headache, Diarrhea
    Adult check-in
  48. 2022-11-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  49. 2022-11-21
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  50. 2022-11-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  51. 2022-11-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  52. 2022-11-24
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  53. 2022-12-01
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-12-08
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-12-15
    Survey response — day 28, dose 5
    MedDRA: Injection site pruritus, Pruritus — Feeling: Good
    Free text: Vaccination site itchy. Itch extended down my left arm into my forearm. Lasted for the rest of the day. Was gone when I woke up the next morning.
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-12-22
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  57. 2022-12-29
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  58. 2023-02-16
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  59. 2023-04-21
    Dose 6 — Moderna
  60. 2023-05-08
    Health check-in — day 14, dose 6
    Feeling: Good
    Adult check-in
  61. 2023-05-12
    Survey response — day 21, dose 6
    MedDRA: Headache — Feeling: Fair
    MedDRA releases: 2024-11
  62. 2023-05-19
    Health check-in — day 28, dose 6
    Feeling: Good
    Adult check-in
  63. 2023-05-26
    Health check-in — day 35, dose 6
    Feeling: Good
    Adult check-in
  64. 2023-06-02
    Health check-in — day 42, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Pfizer-BioNTech
22021-04-28Pfizer-BioNTech
32021-09-23Pfizer-BioNTech No
42022-06-09Pfizer-BioNTech No
52022-11-17Pfizer-BioNTech No
62023-04-21Moderna No

Free text

Release 7 — day 0, dose 1

2021-04-07

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): No

2021-04-09

Systemic reaction (other): No

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Fire-like pain in breast closest to vaccine injection site. Pain starts out mild upon touch, then rapidly escalates into intense fire-like pain. Afterwards the pain slowly subsides.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Insomnia, probably from the ARB I'm taking.

2021-05-02

Systemic reaction (other): Stiff neck on vax side, where pain was right after being vaccinated.

2021-05-04

Systemic reaction (other): insomnia, leg muscles twitching

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): twitching leg muscles

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Felt like I was coming down with a virus.

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Diarrhea, loose stools

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Trace of blood in urine, elevated GGT (liver) number. Saw elevated GGT last year, blood in urine is new.Allergies worse, started 1.5 months early.Diarrhea - not uncommon for me during the summer. Probiotics help. Anti-diarrhea meds a last resort.

Release 10 — day 35, dose 3

2021-10-28

Symptoms: Low grade fever, achy arm and neck.

Release 10 — day 42, dose 3

2021-11-04

Symptoms: Sore throat, sore inflamed sinus tissues, fatigue, difficulty concentrating

Release 10 — 3 months, dose 3

2021-12-25

Symptoms: Skin problems on upper left side of back, near vax site. Sometimes itchy, frequently painful, sometimes burns like a sunburn. That area gets no sun exposure. This all started around the time I received my first vax. I thought it was allergies.

Release 12 — days 1–6 daily, dose 4

2022-06-10

Systemic reaction (other): I was so tired from the vaccination that I slept 12 hours last night.

2022-06-12

Systemic reaction (other): Abrupt onset of visual aberrations in eye closest to injection site. Started around 11 PM the day after receiving the vaccination.

2022-06-13

Systemic reaction (other): Visual aberrations continue. Today there are a spiral, clouds, and a dot, all in eye closest to injection site.

2022-06-15

Systemic reaction (other): Visual aberrations in eye closest to injection site continue.

Release 12 — day 7, dose 4

2022-06-16

Systemic reaction (other): Visual aberrations in eye closest to injection site are waning.

Release 12 — day 28, dose 5

2022-12-15

Symptoms: Vaccination site itchy. Itch extended down my left arm into my forearm. Lasted for the rest of the day. Was gone when I woke up the next morning.

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
SDBlood urine present ✓ · ✓
SDBreast pain ✓ ✓ ✓
SDBreast tenderness ✓ ✓ ✓
SDDepressed mood ✓ ✓ ○
SDDiarrhoea ✓ ✓ ✓
SDDisturbance in attention · · ✓
SDFatigue · · ✓
SDGamma-glutamyltransferase increased ✓ · ✓
SDHeadache · · ✓
SDHypersensitivity ✓ · ✓
SDInjection site pruritus · · ✓
SDMalaise · · ✓
SDNeck pain · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity · · ✓
SDPain of skin · · ✓
SDParanasal sinus inflammation · · ✓
SDPre-existing disease ✓ · ✓
SDPruritus · · ✓
SDPyrexia · · ✓
SDSelf-medication ✓ · ✓
SDSinus pain · · ✓
SDSkin burning sensation · · ✓
SDSkin disorder · · ✓
SROFatigue · · ✓
SROInsomnia ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROSensory disturbance · · ✓
SROVisual impairment · · ✓

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