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3RD-14049-40306

4 vaccinations 4 coded responses 27 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
967 / HI
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-02-10
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-03
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-14
    Dose 3 — Pfizer-BioNTech
  17. 2021-10-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-10-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-10-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-10-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neuralgia, Pain, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: I have had a bad recurrence of nerve pain at a former surgery site in my left breast. Don't know what f this was caused by the vaccine but it's the only variable.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neuralgia, Pre-existing disease, Procedural pain — Feeling: Fair · Fatigue or tiredness
    Free text: I still have nerve pain in my left breast at the site of former surgery.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neuralgia, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: I am still having nerve pain at the site of previous breast surgery.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-22
    Survey response — day 7, dose 3
    MedDRA: Neuralgia, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: I still have nerve pain at the site of previous surgery that seems to have been triggered by the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-28
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  25. 2021-11-04
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  26. 2021-11-12
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  27. 2021-11-18
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  28. 2021-11-25
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  29. 2022-01-13
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  30. 2022-04-09
    Dose 4 — Pfizer-BioNTech
  31. 2022-04-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  32. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Pfizer-BioNTech
22021-03-03Pfizer-BioNTech
32021-10-14Pfizer-BioNTech No
42022-04-09Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-18

Systemic reaction (other): I have had a bad recurrence of nerve pain at a former surgery site in my left breast. Don't know what f this was caused by the vaccine but it's the only variable.

2021-10-19

Systemic reaction (other): I still have nerve pain in my left breast at the site of former surgery.

2021-10-20

Systemic reaction (other): I am still having nerve pain at the site of previous breast surgery.

Release 10 — day 7, dose 3

2021-10-22

Systemic reaction (other): I still have nerve pain at the site of previous surgery that seems to have been triggered by the vaccine.

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
SRONeuralgia · · ✓
SROPain · · ✓
SROPre-existing disease · · ✓
SROProcedural pain · · ✓

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