4CV-15439-81077
3 vaccinations
9 coded responses
38 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 460 / IN
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Pfizer-BioNTech
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-09
-
2021-01-16
Dose 2 — Pfizer-BioNTech
-
2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Good · Site: PainFree text: Muscle cramps in lower leg last eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
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2021-01-19
Survey response — days 1–6 daily, dose 2MedDRA: Eyelid pain, Facial pain, Lacrimation increased, Swelling face, Vision blurred — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swelling in face and pain on right side of face. Eye tearing and difficult to focus eyelashes hurt skin when I close my eye ALL right sidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Neuralgia — Feeling: Good · Fever · Headache, Muscle or body achesFree text: Nerve pain in faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
-
2021-01-30
Survey response — day 14, dose 2MedDRA: Dry eye, Eye pain, Toothache — Feeling: FairFree text: Right eye feeling dry and painful since the 2nd vaccine and teeth pain on rightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — day 21, dose 2MedDRA: Eye pain, Eye pruritus, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Right eye became more itchy, reddened with stabbing pains headache on right side onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-04
- 2021-04-17
- 2021-07-17
-
2022-01-13
Dose 3 — Janssen/Johnson & Johnson
- 2022-01-13
- 2022-01-14
-
2022-01-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-01-16
Survey response — days 1–6 daily, dose 3MedDRA: Eye pain — Feeling: Good · HeadacheFree text: Pain in right eye which lasted shorter than with PfizerMedDRA releases: 2024-11 · check-in free text available
-
2022-01-17
Survey response — days 1–6 daily, dose 3MedDRA: Eye pain — Feeling: Good · Muscle or body achesFree text: Right eye continues to acheMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-19
- 2022-01-20
- 2022-01-28
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-02-24
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2022-04-15
Survey response — 3 months, dose 3MedDRA: Cough, Dyspnoea, Paranasal sinus hypersecretion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough short of breath sinusdrainageMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-19
- 2022-07-14
-
2023-01-13
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Pfizer-BioNTech | |
| 2 | 2021-01-16 | Pfizer-BioNTech | |
| 3 | 2022-01-13 | Janssen/Johnson & Johnson | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle cramps in lower leg last evening
Systemic reaction (other): Swelling in face and pain on right side of face. Eye tearing and difficult to focus eyelashes hurt skin when I close my eye ALL right sided
Systemic reaction (other): Nerve pain in face
Release 3 — day 14, dose 2
Symptoms: Right eye feeling dry and painful since the 2nd vaccine and teeth pain on right
Release 3 — day 21, dose 2
Symptoms: Right eye became more itchy, reddened with stabbing pains headache on right side only
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in right eye which lasted shorter than with Pfizer
Systemic reaction (other): Right eye continues to ache
Release 11 — 3 months, dose 3
Symptoms: Cough short of breath sinusdrainage
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 | Cough | · | · | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Eyelid pain | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release