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4GC-13431-72944

1 vaccination 5 coded responses 12 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
975 / OR
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-04-28
    Registered in v-safe
  2. 2021-04-28
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-28
    Survey response — day 0, dose 1
    MedDRA: Dysgeusia, Feeling abnormal, Immediate post-injection reaction, Injection site pain, Injection site warmth, Tongue discomfort — Feeling: Good · Fever · Chills, Headache, Nausea
    Free text: Burned upon injection. About 5m after tongue went fuzzy and tasted it (like mri contrast). Felt a bit discombobulated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Headache, Joint pains
    Adult check-in
  5. 2021-04-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Joint pains, Vomiting
    Adult check-in
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Vomiting
    Adult check-in
  7. 2021-05-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Bruises on top back of both calves, below knee- haven't injured thag part pf body or anything to have softball sized bruies on both legs- just odd.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-05-12
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Pyrexia, Rhinorrhoea — Feeling: Good
    Free text: Haven't had a solid bowel moment since day after shot, borderline diarrhea but not to frequency of dehydration. Fever still comes and goes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-28
    Survey response — 3 months, dose 1
    MedDRA: Depression, Fatigue, Injection site induration, Injection site mass, Peripheral swelling, Tenderness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: On-going fatigue, exasperating depression, muddled mind, feet remained swollen, hard bb-ish size lump at injection site, consistently tender left flank (kidney)
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-10-27
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2022-04-28
    Survey response — 12 months, dose 1
    MedDRA: Blood pressure increased, Dizziness — Feeling: Fair
    Free text: Blood pressure elevated, dizzy spells
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Pfizer-BioNTech

Free text

Release 8 — day 0, dose 1

2021-04-28

Systemic reaction (other): Burned upon injection. About 5m after tongue went fuzzy and tasted it (like mri contrast). Felt a bit discombobulated.

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Bruises on top back of both calves, below knee- haven't injured thag part pf body or anything to have softball sized bruies on both legs- just odd.

Release 8 — day 14, dose 1

2021-05-12

Symptoms: Haven't had a solid bowel moment since day after shot, borderline diarrhea but not to frequency of dehydration. Fever still comes and goes.

Release 9 — 3 months, dose 1

2021-07-28

Symptoms: On-going fatigue, exasperating depression, muddled mind, feet remained swollen, hard bb-ish size lump at injection site, consistently tender left flank (kidney)

Release 11 — 12 months, dose 1

2022-04-28

Symptoms: Blood pressure elevated, dizzy spells

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

FieldPreferred term2021-092023-042024-11
SDBlood pressure increased · · ✓
SDDepression ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness · · ✓
SDFatigue ✓ · ✓
SDInjection site induration ✓ · ✓
SDInjection site mass ✓ · ✓
SDPeripheral swelling ✓ · ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDTenderness ✓ · ✓
SROContusion ✓ ✓ ✓
SRODysgeusia · · ✓
SROFeeling abnormal · · ✓
SROImmediate post-injection reaction · · ✓
SROInjection site pain · · ✓
SROInjection site warmth ✓ ✓ ○
SROTongue discomfort ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release