3TB-74856-30409
4 vaccinations
11 coded responses
52 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Registered in v-safe
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Pfizer-BioNTech
- 2021-04-27
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Loss of appetite after shot #1 on 4.6.21. This has continued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Pain in extremity — Feeling: Fair · Site: PainFree text: Shot arm hurts around side and back of arm..not at shot site. Discovered this when husband leaned against me! Still have loss of appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: PainFree text: Slowly getting my appetite backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
-
2021-05-18
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: TMJ is much worse..causing daily headaches and more clenching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
-
2021-11-04
Dose 3 — Pfizer-BioNTech
- 2021-11-04
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Good · Site: SwellingFree text: I am a non dialysis CKD patient..if that helps your records anyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity, Tenderness — Feeling: Good · Joint pains, Muscle or body achesFree text: Soles of feet hurt to walk on...just like when i had valley fever. May have stirred up my reactive arthritis??MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-18
-
2021-11-25
Survey response — day 21, dose 3MedDRA: Abdominal pain upper, Decreased appetite, Pre-existing disease — Feeling: FairFree text: Stomach pains, not very hungry. Forcing fluids and lite food. Am a non dialysis CKD patient. Made daily tasks a chore...slower.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
-
2022-05-31
Dose 4 — Pfizer-BioNTech
-
2022-05-31
Survey response — day 0, dose 4MedDRA: Injection site haemorrhage, Pre-existing disease — Feeling: FairFree text: Blood soaked pad in bandaid after injection. History of DVT. Take 1 baby aspirin a day. Also have non dialysis CKD.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-02
- 2022-06-03
-
2022-06-04
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Good · Site: SwellingFree text: Light bruising around injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-14
-
2022-06-21
Survey response — day 21, dose 4MedDRA: Anxiety, Feeling hot, Hyperhidrosis, Presyncope, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Anxiety attack. Felt hot and sweaty. Vision blurred. Nearly passed out except nurse I was with made me open my eyes, talk, and take deep breaths. Grateful I wasn't alone and had a ride home.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-08-30
- 2022-11-29
-
2023-05-31
Survey response — 12 months, dose 4MedDRA: Weight increased — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
| 4 | 2022-05-31 | Pfizer-BioNTech | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite after shot #1 on 4.6.21. This has continued.
Systemic reaction (other): Shot arm hurts around side and back of arm..not at shot site. Discovered this when husband leaned against me! Still have loss of appetite.
Systemic reaction (other): Slowly getting my appetite back
Release 8 — day 21, dose 2
Symptoms: TMJ is much worse..causing daily headaches and more clenching.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am a non dialysis CKD patient..if that helps your records any
Systemic reaction (other): Soles of feet hurt to walk on...just like when i had valley fever. May have stirred up my reactive arthritis??
Release 10 — day 21, dose 3
Symptoms: Stomach pains, not very hungry. Forcing fluids and lite food. Am a non dialysis CKD patient. Made daily tasks a chore...slower.
Release 11 — day 0, dose 4
Systemic reaction (other): Blood soaked pad in bandaid after injection. History of DVT. Take 1 baby aspirin a day. Also have non dialysis CKD.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Light bruising around injection site
Release 12 — day 21, dose 4
Symptoms: Anxiety attack. Felt hot and sweaty. Vision blurred. Nearly passed out except nurse I was with made me open my eyes, talk, and take deep breaths. Grateful I wasn't alone and had a ride home.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Weight increased | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site haemorrhage | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release