42C-30467-37770
2 vaccinations
16 coded responses
21 check-ins
16 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 356 / AL
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-29
Dose 1 — Pfizer-BioNTech
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2021-04-30
Registered in v-safe
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Feeling hot, Pre-existing disease, Self-medication — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Very short of breath. Had to use my rescue inhaler yesterday and and today. Also, Ive taken breathing treatments. My O2 SAT room air dropped to 87% . This am my face because hot and purple. Ive been taking Tylenol and Benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Asthma increase use of inhaler and nebulizer treatmentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Fatigue, Hyperhidrosis — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Extremely tried. Sweats. Joint pain is wrose today. Im using a heating pad plus a electric blanketMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Blister — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Blisters on feet are three on my face. I dont know why or if it has anything to do with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Blister — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I have blisters coming up in random places...face, feet and hands. The blisters are random come and go. Ive had some to open up...one on my face and one on my foot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 7, dose 1MedDRA: Blister — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: BlistersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 14, dose 1MedDRA: Blister — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blisters in my nose and faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Dose 2 — Pfizer-BioNTech
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site vesicles — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Blisters around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Mobility decreased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I having eye pain. Have trouble getting up from a sitting position atMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: My eyes hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — day 7, dose 2MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-10
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2021-06-17
Survey response — day 28, dose 2MedDRA: Asthma, Condition aggravated, Gait disturbance, Hypersensitivity, Musculoskeletal stiffness, Pain, Pre-existing disease, Rash, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Increased asthma episodes and increased allergic reactions ie hives and rash. Increased body aches and stiffness. Having to use assistive devices more frequently. At times I have not been able to walk at times. My Trigeminal neuralgia has flared up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Survey response — day 35, dose 2MedDRA: Asthenia, Crying, Facial pain, Headache, Neck pain, Pain — Feeling: Poor · Be unable to work or attend schoolFree text: Extreme pain today. Woke myself up crying. Head, neck and face pain. No energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
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2021-08-19
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach cramps and diarrhea everydayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-18
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Chest pain, Diarrhoea, Dyspnoea, Muscle spasms, Muscular weakness, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Muscle weakness. Upset stomach, cramping and diarrhea. Heart increase. Chest pains and Short of breath.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-11-19
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2022-05-20
Survey response — 12 months, dose 2MedDRA: Alopecia, Chills, Cyanosis, Headache, Heart rate increased, Hot flush, Malaise, Memory impairment, Neck pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Extreme malaise, increased forgetfulness, increased neck and head pain, increased heart rate, and my arms, hands and feet turn blue. Extreme chills and hot flashes. Also my hair has fell out. · Healthcare visit (other): Dr visitMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-23
- 2022-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Pfizer-BioNTech | |
| 2 | 2021-05-20 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Very short of breath. Had to use my rescue inhaler yesterday and and today. Also, Ive taken breathing treatments. My O2 SAT room air dropped to 87% . This am my face because hot and purple. Ive been taking Tylenol and Benadryl.
Systemic reaction (other): Asthma increase use of inhaler and nebulizer treatments
Systemic reaction (other): Extremely tried. Sweats. Joint pain is wrose today. Im using a heating pad plus a electric blanket
Systemic reaction (other): Blisters on feet are three on my face. I dont know why or if it has anything to do with the vaccine
Systemic reaction (other): I have blisters coming up in random places...face, feet and hands. The blisters are random come and go. Ive had some to open up...one on my face and one on my foot.
Release 8 — day 7, dose 1
Systemic reaction (other): Blisters
Release 8 — day 14, dose 1
Symptoms: Blisters in my nose and face
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Blisters around injection site
Systemic reaction (other): I having eye pain. Have trouble getting up from a sitting position at
Systemic reaction (other): My eyes hurt
Release 8 — day 7, dose 2
Systemic reaction (other): Bruising at injection site
Release 9 — day 28, dose 2
Symptoms: Increased asthma episodes and increased allergic reactions ie hives and rash. Increased body aches and stiffness. Having to use assistive devices more frequently. At times I have not been able to walk at times. My Trigeminal neuralgia has flared up. cut off by CDC
Release 9 — day 35, dose 2
Symptoms: Extreme pain today. Woke myself up crying. Head, neck and face pain. No energy
Release 9 — 3 months, dose 2
Symptoms: Stomach cramps and diarrhea everyday
Release 10 — 6 months, dose 2
Symptoms: Muscle weakness. Upset stomach, cramping and diarrhea. Heart increase. Chest pains and Short of breath.
Release 11 — 12 months, dose 2
Symptoms: Extreme malaise, increased forgetfulness, increased neck and head pain, increased heart rate, and my arms, hands and feet turn blue. Extreme chills and hot flashes. Also my hair has fell out.
Healthcare visit (other): Dr visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Crying | ✓ | ✓ | ✓ |
| SD | Cyanosis | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site vesicles | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release