3S9-53245-31481
4 vaccinations
10 coded responses
22 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-18
Dose 1 — Pfizer-BioNTech
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2021-04-01
Registered in v-safe
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2021-04-01
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Nausea — Feeling: GoodFree text: Have had a headache and some mild nausea and fatigue the last couple of days. But that is probably related to my period.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Dose 2 — Pfizer-BioNTech
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2021-04-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-11
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Aphasia, Disturbance in attention, Feeling abnormal, Thinking abnormal — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Something i forgot to add - the day of and day after i had major brain fog. Hard to focus, hard to have complex thoughs, hard to come up with the right words, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: My shoulders are sore, but I think thats from exercise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, No adverse event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: This could all be nom vaccine related. Like diet and exercise. Unclear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 7, dose 2MedDRA: Feeling hot, Malaise — Feeling: Good · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: This morning i felt really hot for a while. Didn't have a fever, but just felt off. My stomach has been off a few days, and I've been exercising again. Could explain a lot od my symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 2MedDRA: Axillary pain, Breast discomfort — Feeling: GoodFree text: I have had some pain in my left armpit, the same arm as the vaccine. Once I felt a little twinge in my left breast too. I assume this means it's in my lymph nodes and working, so I don't mind!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
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2021-05-06
Survey response — day 28, dose 2MedDRA: Gastrooesophageal reflux disease, Pre-existing disease — Feeling: FairFree text: I've had a major flare in my GERD (avid reflux) symptoms the last few days. I had a stressful experience right before it started though, so it could be due to that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
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2021-05-20
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: I've had a mild headache briefly a few times over the lssr few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-08
- 2021-10-07
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2021-11-28
Dose 3 — Pfizer-BioNTech
- 2022-04-08
- 2022-05-29
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2022-09-09
Dose 4 — Moderna
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2022-10-18
Survey response — day 35, dose 4MedDRA: Asthma, Pre-existing disease, Stress — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My asthma has gotten worse the last few months. I think that's probably more related to stress and lifestyle though.MedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-19
Call successfulNot applicable - Accidental Reporting
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2022-10-21
Survey response — day 42, dose 4MedDRA: Asthma, Dyspepsia, Pre-existing disease — Feeling: GoodFree text: My asthma has been getting worse lately. But I think that is because I am not exercising as much and eating things that give me heartburn.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech | |
| 3 | 2021-11-28 | Pfizer-BioNTech | No |
| 4 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 1
Symptoms: Have had a headache and some mild nausea and fatigue the last couple of days. But that is probably related to my period.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Something i forgot to add - the day of and day after i had major brain fog. Hard to focus, hard to have complex thoughs, hard to come up with the right words, etc.
Systemic reaction (other): My shoulders are sore, but I think thats from exercise.
Systemic reaction (other): This could all be nom vaccine related. Like diet and exercise. Unclear.
Release 7 — day 7, dose 2
Systemic reaction (other): This morning i felt really hot for a while. Didn't have a fever, but just felt off. My stomach has been off a few days, and I've been exercising again. Could explain a lot od my symptoms.
Release 7 — day 14, dose 2
Symptoms: I have had some pain in my left armpit, the same arm as the vaccine. Once I felt a little twinge in my left breast too. I assume this means it's in my lymph nodes and working, so I don't mind!
Release 8 — day 28, dose 2
Symptoms: I've had a major flare in my GERD (avid reflux) symptoms the last few days. I had a stressful experience right before it started though, so it could be due to that.
Release 8 — day 42, dose 2
Symptoms: I've had a mild headache briefly a few times over the lssr few days.
Release 12 — day 35, dose 4
Symptoms: My asthma has gotten worse the last few months. I think that's probably more related to stress and lifestyle though.
Release 12 — day 42, dose 4
Symptoms: My asthma has been getting worse lately. But I think that is because I am not exercising as much and eating things that give me heartburn.
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 | Asthma | · | · | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Breast discomfort | ✓ | ✓ | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Adverse reaction | ✓ | · | ✓ |
| SRO | Aphasia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | No adverse event | ○ | ✓ | ○ |
| SRO | Thinking abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release