4HQ-14134-51098
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 939 / CA
- Registered
- 2021-07-02
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-07-01
Dose 1 — Pfizer-BioNTech
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2021-07-02
Registered in v-safe
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2021-07-02
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Vision blurred — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea · Be unable to work or attend schoolFree text: Yesterday I got the shot and 5 hours after the shot I felt a lot of muscle pain in my legs and I had blurred vision for a couple of minutes. Very strangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-03
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Musculoskeletal chest pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Achy back and ribsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-04
Survey response — days 1–6 daily, dose 1MedDRA: Blister, Lacrimation increased, Periorbital swelling, Swelling of eyelid — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Not sure if its related but I have a type of blister develop in my eyelid yesterday, last night same eye was watery and today it is a little swollen/puffy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — days 1–6 daily, dose 1MedDRA: Eyelid irritation, Lacrimation increased — Feeling: Good · Fatigue or tirednessFree text: My left eye is still watering and feels discomfort inside the eyelid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-08
- 2021-07-15
- 2021-07-22
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2021-07-27
Dose 2 — Pfizer-BioNTech
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2021-07-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-08-02
- 2021-08-05
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2021-08-19
Survey response — day 21, dose 2MedDRA: Asthenia, Ear infection, Influenza, Malaise, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend schoolFree text: For the last two weeks I have been sick with a type of head cold or flu and now I somehow got an ear infection. I feel very vulnerable. I go tested last week for COVID by the virus geeks and it was negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Survey response — day 28, dose 2MedDRA: Ear infection, Ear pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: A very painful ear infection after being sick for 2.5 weeksMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
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2021-11-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-01 | Pfizer-BioNTech | No |
| 2 | 2021-07-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday I got the shot and 5 hours after the shot I felt a lot of muscle pain in my legs and I had blurred vision for a couple of minutes. Very strange
Systemic reaction (other): Achy back and ribs
Systemic reaction (other): Not sure if its related but I have a type of blister develop in my eyelid yesterday, last night same eye was watery and today it is a little swollen/puffy.
Systemic reaction (other): My left eye is still watering and feels discomfort inside the eyelid.
Release 9 — day 21, dose 2
Symptoms: For the last two weeks I have been sick with a type of head cold or flu and now I somehow got an ear infection. I feel very vulnerable. I go tested last week for COVID by the virus geeks and it was negative.
Release 9 — day 28, dose 2
Symptoms: A very painful ear infection after being sick for 2.5 weeks
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 | Asthenia | ✓ | · | ✓ |
| SD | Ear infection | ✓ | · | ✓ |
| SD | Ear pain | ✓ | · | ✓ |
| SD | Influenza | ✓ | · | ✓ |
| SD | Malaise | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Eyelid irritation | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release