45Q-15725-57605
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 620 / IL
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 2 — Pfizer-BioNTech
-
2021-03-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-27
Survey response — day 21, dose 1MedDRA: Headache, Mobility decreased, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache for 6 hrs and my right arm hurt for about 36 hrs. and couldnt lift it or move it without excruciating pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Poor · Site: Pain · Be unable to do your normal daily activitiesFree text: After I got the 2nd dose on3/28/21 I felt lightheaded and dizzy for about half hour 45 minutes dont remember if I put thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Mobility decreased, Musculoskeletal stiffness — Feeling: Good · Joint painsFree text: Something unusual that never has happened before 3 of my fingers got stuck straight.couldnt bend them for like 2 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Chest pain, Dyspnoea, Emergency care — Feeling: Good · 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: Problems breathing chest pains went to emergency room by ambulance last weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 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 pr1 call case(s)
- 2021-07-01
-
2021-09-27
Survey response — 6 months, dose 2MedDRA: Stent placement, Upper respiratory tract infection — Feeling: Poor · 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: Had to have stents 3 weeks agoAnd have been sick with upper respiratory infection for 2 weeksMedDRA releases: 2024-11 · check-in free text available
-
2021-09-27
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)
- 2021-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-27 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — day 21, dose 1
Symptoms: Headache for 6 hrs and my right arm hurt for about 36 hrs. and couldnt lift it or move it without excruciating pain.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): After I got the 2nd dose on3/28/21 I felt lightheaded and dizzy for about half hour 45 minutes dont remember if I put that
Systemic reaction (other): Something unusual that never has happened before 3 of my fingers got stuck straight.couldnt bend them for like 2 minutes
Release 9 — 3 months, dose 2
Symptoms: Problems breathing chest pains went to emergency room by ambulance last week
Release 9 — 6 months, dose 2
Symptoms: Had to have stents 3 weeks agoAnd have been sick with upper respiratory infection for 2 weeks
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Stent placement | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release