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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

  1. 2021-03-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-27
    Registered in v-safe
  3. 2021-03-27
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-27
    Survey response — day 21, dose 1
    MedDRA: Headache, Mobility decreased, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  6. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities
    Free 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 that
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mobility decreased, Musculoskeletal stiffness — Feeling: Good · Joint pains
    Free text: Something unusual that never has happened before 3 of my fingers got stuck straight.couldnt bend them for like 2 minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-17
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-26
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Problems breathing chest pains went to emergency room by ambulance last week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-26
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  20. 2021-07-01
  21. 2021-09-27
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free text: Had to have stents 3 weeks agoAnd have been sick with upper respiratory infection for 2 weeks
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-27
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  23. 2021-10-01

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Pfizer-BioNTech
22021-03-27Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-03-27

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

2021-03-28

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

2021-04-01

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

2021-06-26

Symptoms: Problems breathing chest pains went to emergency room by ambulance last week

Release 9 — 6 months, dose 2

2021-09-27

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

FieldPreferred term2021-092023-042024-11
SDChest pain ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDStent placement · · ✓
SDUpper respiratory tract infection · · ✓
SRODizziness ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release