4CX-23527-46288
1 vaccination
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 530 / WI
- Registered
- 2021-09-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-09-13
Registered in v-safe
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2021-09-13
Dose 1 — Pfizer-BioNTech
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2021-09-13
Survey response — day 0, dose 1MedDRA: Autoimmune disorder — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Autoimmune DisorderMedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-16
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Pruritus, Self-medication — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: This is the second time I had a severe itching episode during the night. The first was the evening after my shot. I woke up with an odd chest pain that eventually resolved. The itchiness continued until I took 2 benedryl which helpedMedDRA releases: 2024-11 · check-in free text available
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2021-09-17
Survey response — days 1–6 daily, dose 1MedDRA: Dry eye, Pruritus, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Note: when I was itchy, my eyes were also dry. It was odd because it was in the middle of the night. Systane complete helped.MedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-20
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: The itching happens without a rash. It doesnt happen every night. Its odd.MedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Survey response — day 14, dose 1MedDRA: Ear swelling, Fatigue, Oedema peripheral, Pain, Pre-existing disease, Swelling — Feeling: FairFree text: Neck, behind ear, chest, and under arm area swelling left side. Fatigue. Pain. Not sure if the shot flared up the autoimmune disorder.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-13 | Pfizer-BioNTech | No |
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): Autoimmune Disorder
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): This is the second time I had a severe itching episode during the night. The first was the evening after my shot. I woke up with an odd chest pain that eventually resolved. The itchiness continued until I took 2 benedryl which helped
Systemic reaction (other): Note: when I was itchy, my eyes were also dry. It was odd because it was in the middle of the night. Systane complete helped.
Release 9 — day 7, dose 1
Systemic reaction (other): The itching happens without a rash. It doesnt happen every night. Its odd.
Release 9 — day 14, dose 1
Symptoms: Neck, behind ear, chest, and under arm area swelling left side. Fatigue. Pain. Not sure if the shot flared up the autoimmune disorder.
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 | Ear swelling | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Autoimmune disorder | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dry eye | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release