4B9-35769-19523
2 vaccinations
6 coded responses
18 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
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2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Epistaxis — Feeling: Good · Site: PainFree text: Nose bleed from one nostril. However, that happens frequently and is probably not related to the vaccine. It is dry here in Arizona, and I believe the dryness contributes to this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Muscle tightness — Feeling: Fair · Muscle or body aches, Abdominal painFree text: Yesterday I was not able to report becausr although the text message came in, there was no code with the message. I had a muscle spasm or tightness in upper left back. It's a little less painful today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Pre-existing disease — Feeling: FairFree text: Some indigestion, which is something I experience on occasion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
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2021-02-04
Survey response — day 7, dose 1MedDRA: Upper-airway cough syndrome — Feeling: FairFree text: Post nasal drip, which may be related to allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 14, dose 1MedDRA: Epistaxis, Unevaluable event — Feeling: FairFree text: Nose bleed today lasted a little longer than usual. I get them now and then. It may be due to dryness in Arizona.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Dose 2 — Pfizer-BioNTech
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2021-02-17
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Muscle or body achesFree text: I have a muscle spasm in the left side of the middle of my back. I had this before l got my my shot today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-24
- 2021-03-04
- 2021-03-13
- 2021-04-03
- 2021-05-19
- 2021-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Nose bleed from one nostril. However, that happens frequently and is probably not related to the vaccine. It is dry here in Arizona, and I believe the dryness contributes to this.
Systemic reaction (other): Yesterday I was not able to report becausr although the text message came in, there was no code with the message. I had a muscle spasm or tightness in upper left back. It's a little less painful today.
Systemic reaction (other): Some indigestion, which is something I experience on occasion.
Release 3 — day 7, dose 1
Systemic reaction (other): Post nasal drip, which may be related to allergies.
Release 4 — day 14, dose 1
Symptoms: Nose bleed today lasted a little longer than usual. I get them now and then. It may be due to dryness in Arizona.
Release 4 — day 0, dose 2
Systemic reaction (other): I have a muscle spasm in the left side of the middle of my back. I had this before l got my my shot today.
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 | Condition aggravated | ○ | · | ○ |
| SD | Epistaxis | ✓ | · | ✓ |
| SD | Pre-existing disease | ○ | · | ○ |
| SD | Unevaluable event | ○ | ✓ | ○ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release