4FK-11864-44913
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 850 / AZ
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Pfizer-BioNTech
- 2021-01-29
- 2021-01-30
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Arthritis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: ArthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
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2021-02-19
Dose 2 — Pfizer-BioNTech
- 2021-02-19
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-25
- 2021-02-28
- 2021-03-05
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2021-03-14
Survey response — day 21, dose 2MedDRA: Blood pressure increased, Chills, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Since second shot have been experiencing all day chills and exacerbation of Raynauds symptoms. This has not happened before. My blood pressure has increased with these symptoms. Could vaccine have disrupted my autoimmune responses. I have Hashimotos.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
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2021-03-26
Survey response — day 35, dose 2MedDRA: Arthralgia, Chills — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Continuing chills and joint pain. Dont know if its result of hypertensive medication or vaccine. Seems to have started after vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-05-21
- 2021-08-20
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2021-09-27
Dose 3 — Pfizer-BioNTech
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: GoodFree text: SweatsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
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2021-10-11
Survey response — day 14, dose 3MedDRA: Arthralgia, Feeling abnormal, Mood swings, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint pain and mood swings. Dont know if this is result of booster or other medical issues but feeling bad past two days.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Arthritis
Release 5 — day 21, dose 2
Symptoms: Since second shot have been experiencing all day chills and exacerbation of Raynauds symptoms. This has not happened before. My blood pressure has increased with these symptoms. Could vaccine have disrupted my autoimmune responses. I have Hashimotos. cut off by CDC
Release 6 — day 35, dose 2
Symptoms: Continuing chills and joint pain. Dont know if its result of hypertensive medication or vaccine. Seems to have started after vaccine.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Sweats
Release 10 — day 14, dose 3
Symptoms: Joint pain and mood swings. Dont know if this is result of booster or other medical issues but feeling bad past two days.
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Mood swings | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release