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
-
2021-01-12
Registered in v-safe
-
2021-02-10
Dose 1 — Pfizer-BioNTech
-
2021-03-03
Dose 2 — Pfizer-BioNTech
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-14
Dose 3 — Pfizer-BioNTech
-
2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-16
- 2021-10-17
-
2021-10-18
Survey response — days 1–6 daily, dose 3MedDRA: Neuralgia, Pain, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree 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
-
2021-10-19
Survey response — days 1–6 daily, dose 3MedDRA: Neuralgia, Pre-existing disease, Procedural pain — Feeling: Fair · Fatigue or tirednessFree 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
-
2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Neuralgia, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: I am still having nerve pain at the site of previous breast surgery.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Survey response — day 7, dose 3MedDRA: Neuralgia, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree 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
- 2021-10-28
- 2021-11-04
- 2021-11-12
- 2021-11-18
- 2021-11-25
- 2022-01-13
-
2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech | |
| 2 | 2021-03-03 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
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.
Systemic reaction (other): I still have nerve pain in my left breast at the site of former surgery.
Systemic reaction (other): I am still having nerve pain at the site of previous breast surgery.
Release 10 — day 7, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Neuralgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Procedural pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release