4BA-14005-93102
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 541 / WI
- Registered
- 2021-07-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-20
Registered in v-safe
-
2021-07-20
Dose 1 — Pfizer-BioNTech
- 2021-07-20
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2021-07-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-07-22
-
2021-07-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-07-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-07-25
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Right side muscle arm pain (shot was in left), knee joint pain right side.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-27
- 2021-08-03
-
2021-08-10
Dose 2 — Pfizer-BioNTech
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2021-08-10
Survey response — day 0, dose 2MedDRA: Headache, Paranasal sinus discomfort — Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessFree text: Headache and a sinus pressure feeling in left sinus area.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: My hands itch. Fingers mostly.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-12
- 2021-08-13
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-17
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2021-08-24
Survey response — day 14, dose 2MedDRA: Contusion, Injection site pruritus, Skin exfoliation, Skin wound — Feeling: GoodFree text: Serious itching of vaccination sites. Skin broken and peeling. Like there was an injury, other than just a shot.Very easy bruising on my body too.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-31
-
2021-09-07
Survey response — day 28, dose 2MedDRA: Arthralgia, Injection site pain, Pain in extremity — Feeling: FairFree text: Left arm pain, by the shot area, and down my arm to my wrist. 3 daysMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Survey response — day 35, dose 2MedDRA: Injection site pruritus, Pain in extremity — Feeling: FairFree text: Itching at injection site, arm soreMedDRA releases: 2024-11 · check-in free text available
- 2021-09-21
- 2021-11-09
- 2022-02-08
- 2022-08-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-20 | Pfizer-BioNTech | No |
| 2 | 2021-08-10 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Right side muscle arm pain (shot was in left), knee joint pain right side.
Release 9 — day 0, dose 2
Systemic reaction (other): Headache and a sinus pressure feeling in left sinus area.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): My hands itch. Fingers mostly.
Release 9 — day 14, dose 2
Symptoms: Serious itching of vaccination sites. Skin broken and peeling. Like there was an injury, other than just a shot.Very easy bruising on my body too.
Release 9 — day 28, dose 2
Symptoms: Left arm pain, by the shot area, and down my arm to my wrist. 3 days
Release 9 — day 35, dose 2
Symptoms: Itching at injection site, arm sore
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 | Arthralgia | · | · | ✓ |
| SD | Contusion | ✓ | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site pruritus | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Skin exfoliation | ✓ | · | ✓ |
| SD | Skin wound | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | · | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | · | ✓ |
| SRO | Pruritus | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release