4BM-25680-64052
5 vaccinations
17 coded responses
51 check-ins
14 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-27
-
2021-03-30
Dose 2 — Pfizer-BioNTech
-
2021-03-30
Survey response — day 0, dose 2MedDRA: Brain fog, Feeling abnormal, Feeling hot — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Feel warmish, a little brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Hard to concentrateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Skin disorder — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tiny bumps on my arms only 5 on one and one on the other - no redness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Survey response — day 28, dose 2MedDRA: Brain fog, Fatigue — Feeling: FairFree text: Fatigue, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
-
2021-07-01
Survey response — 3 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Site pain in my shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-28
Survey response — 6 months, dose 2MedDRA: Fatigue, Gastrointestinal disorder, Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Stomach and intestinal issues multiple times; fatique; headache left side forehwad above the eyeMedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Dose 3 — Pfizer-BioNTech
-
2021-11-17
Survey response — day 7, dose 3MedDRA: Arthralgia, Brain fog, Fatigue, Pain in extremity, Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Beain fog on day two; fatigue wall days 3 and 6: arm pain for three days, arm itching after that; day fuve strong joint painMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Survey response — day 14, dose 3MedDRA: Fatigue, Inflammation, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, itchy arm, inflammationMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
-
2021-12-06
Survey response — day 28, dose 3MedDRA: Gastrointestinal disorder — Feeling: FairFree text: Intestinal issuesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Survey response — day 35, dose 3MedDRA: Headache, Inflammation — Feeling: FairFree text: Inflammation and headachesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
-
2022-02-07
Survey response — 3 months, dose 3MedDRA: Scleroderma — Feeling: FairFree text: I was diagnosed with limited scleroderma at age 17 and have not had skin issues since until now after my booster. Not severe but enough to where I wonder if that was one too many hits on my immune systemMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Fatigue, Headache, Impaired healing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches, skin healing issues (sclerderma was in remission for 39+ years), fatiqueMedDRA releases: 2024-11 · check-in free text available
-
2022-09-11
Dose 4 — Pfizer-BioNTech
- 2022-09-11
-
2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Restlessness — Feeling: Poor · Fever · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Restless through the nightMedDRA releases: 2024-11 · check-in free text available
-
2022-09-13
Survey response — days 1–6 daily, dose 4MedDRA: Decreased appetite, Feeling jittery, Insomnia — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I have no appetite. The night before last I could not sleep, felt jittery all nightMedDRA releases: 2024-11 · check-in free text available
-
2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-18
Health check-in — day 7, dose 4Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-12-11
- 2023-03-12
-
2023-04-29
Dose 5 — Pfizer-BioNTech
-
2023-05-08
Survey response — day 7, dose 5MedDRA: Impaired healing, Skin disorder — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-13
-
2023-05-20
Survey response — day 21, dose 5MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-27
-
2023-06-03
Survey response — day 35, dose 5MedDRA: Skin disorder, Skin hypertrophy — Feeling: FairMedDRA releases: 2024-11
- 2023-06-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech | |
| 3 | 2021-11-08 | Pfizer-BioNTech | No |
| 4 | 2022-09-11 | Pfizer-BioNTech | No |
| 5 | 2023-04-29 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Feel warmish, a little brain fog
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Hard to concentrate
Systemic reaction (other): Tiny bumps on my arms only 5 on one and one on the other - no redness.
Release 8 — day 28, dose 2
Symptoms: Fatigue, brain fog
Release 9 — 3 months, dose 2
Symptoms: Site pain in my shoulder
Release 9 — 6 months, dose 2
Symptoms: Stomach and intestinal issues multiple times; fatique; headache left side forehwad above the eye
Release 10 — day 7, dose 3
Systemic reaction (other): Beain fog on day two; fatigue wall days 3 and 6: arm pain for three days, arm itching after that; day fuve strong joint pain
Release 10 — day 14, dose 3
Symptoms: Fatigue, itchy arm, inflammation
Release 10 — day 28, dose 3
Symptoms: Intestinal issues
Release 10 — day 35, dose 3
Symptoms: Inflammation and headaches
Release 11 — 3 months, dose 3
Symptoms: I was diagnosed with limited scleroderma at age 17 and have not had skin issues since until now after my booster. Not severe but enough to where I wonder if that was one too many hits on my immune system
Release 11 — 6 months, dose 3
Symptoms: Headaches, skin healing issues (sclerderma was in remission for 39+ years), fatique
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Restless through the night
Systemic reaction (other): I have no appetite. The night before last I could not sleep, felt jittery all night
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 | Brain fog | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Scleroderma | · | · | ✓ |
| SD | Skin disorder | · | · | ✓ |
| SD | Skin hypertrophy | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ○ | ✓ | ○ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | · | · | ✓ |
| SRO | Impaired healing | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Restlessness | · | · | ✓ |
| SRO | Skin disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release