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4PW-31867-87488

2 vaccinations 3 coded responses 16 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
629 / IL
Registered
2021-05-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-22
    Registered in v-safe
  3. 2021-05-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-05-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-05-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Menstrual disorder — Feeling: Good
    Free text: Started menstrual cycle day after I received my vaccine. Flow has been different than normal every day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-06-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-06-11
    Dose 2 — Pfizer-BioNTech
  11. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  12. 2021-06-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Insomnia, Sleep disorder — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Extreme pain in center of back near spine and center of ribs. Progressively got worse furing the night while I was lying down. Finally went away some time after i got up. Then had to sleep sitting up otherwise it would come back.mostly sleepless nigh
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-06-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  15. 2021-06-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-06-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-06-27
    Survey response — day 14, dose 2
    MedDRA: Rash, Rash macular, Rash pruritic — Feeling: Good
    Free text: Previous week and the beginning of this week i had a radh that ran down both arms. Slightly red splotching and tiny bumps, some that came to heads. I have not been anywhere or have tried anything new that could have caused that. It was slightly itchy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-21Pfizer-BioNTech
22021-06-11Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-26

Systemic reaction (other): Started menstrual cycle day after I received my vaccine. Flow has been different than normal every day.

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Extreme pain in center of back near spine and center of ribs. Progressively got worse furing the night while I was lying down. Finally went away some time after i got up. Then had to sleep sitting up otherwise it would come back.mostly sleepless nigh cut off by CDC

Release 9 — day 14, dose 2

2021-06-27

Symptoms: Previous week and the beginning of this week i had a radh that ran down both arms. Slightly red splotching and tiny bumps, some that came to heads. I have not been anywhere or have tried anything new that could have caused that. It was slightly itchy cut off by CDC

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
SDRash ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMenstrual disorder ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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