42J-22497-99240
5 vaccinations
15 coded responses
57 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-02
Registered in v-safe
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2021-04-02
Dose 1 — Pfizer-BioNTech
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2021-04-02
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
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2021-04-19
Dose 2 — Pfizer-BioNTech
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2021-04-19
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Injection site paraesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My entire left arm (the injection side) had a weird tingling sensation for about an hour soon after the jabMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 14, dose 1MedDRA: Oedema — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Edema, but most likely caused by new Rx of AmlodipineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Oedema — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: My edema is betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness and cough. Have actually had cough since Tuesday and forgot to tell youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: Mild coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-27
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
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2021-10-20
Dose 3 — Pfizer-BioNTech
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2021-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Breast pain similar to PMSMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Breast tenderness, Heart rate increased, Premenstrual syndrome — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Elevated heart rate for no reason, breast tenderness like as if I had bad PMSMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesFree text: Injection site only has mild tendernesdMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
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2022-01-19
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: I had a runny nose for about 10 days. It was mild. Two days after symptoms started, I tested for COVID and it was negative. It all just felt like a mild cold or allergies.MedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Survey response — 6 months, dose 3MedDRA: Unevaluable event — Feeling: FairFree text: I think I'm getting a cold right nowMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Dose 4 — Moderna
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2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Runny nose, but I've had that previouslyMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-05-26
Health check-in — day 7, dose 4Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-03
- 2022-06-09
- 2022-06-16
- 2022-06-24
- 2022-07-01
- 2022-08-18
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2022-10-24
Dose 5 — Moderna
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2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
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2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction, Stress — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: There are other possible causes of the above symptom--like yardwork and stressMedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
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2022-10-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2022-10-30
- 2022-10-31
- 2022-11-07
- 2022-11-14
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2022-11-21
Survey response — day 28, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I seem to have a common cold. Tested negative for COVID yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-28
- 2022-12-05
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2023-01-23
Survey response — 3 months, dose 5MedDRA: Temperature regulation disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-23
Report sent to call center — 3 months, dose 5Be 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)
- 2023-01-24
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-10-20 | Pfizer-BioNTech | No |
| 4 | 2022-05-19 | Moderna | No |
| 5 | 2022-10-24 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): My entire left arm (the injection side) had a weird tingling sensation for about an hour soon after the jab
Release 7 — day 14, dose 1
Symptoms: Edema, but most likely caused by new Rx of Amlodipine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): My edema is better
Systemic reaction (other): Dizziness and cough. Have actually had cough since Tuesday and forgot to tell you
Systemic reaction (other): Cough
Systemic reaction (other): Mild cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Breast pain similar to PMS
Systemic reaction (other): Elevated heart rate for no reason, breast tenderness like as if I had bad PMS
Systemic reaction (other): Injection site only has mild tendernesd
Release 10 — 3 months, dose 3
Symptoms: I had a runny nose for about 10 days. It was mild. Two days after symptoms started, I tested for COVID and it was negative. It all just felt like a mild cold or allergies.
Release 11 — 6 months, dose 3
Symptoms: I think I'm getting a cold right now
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose, but I've had that previously
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): There are other possible causes of the above symptom--like yardwork and stress
Release 12 — day 28, dose 5
Symptoms: I seem to have a common cold. Tested negative for COVID yesterday.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Oedema | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Temperature regulation disorder | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Breast tenderness | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Oedema | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Premenstrual syndrome | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Stress | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release