4TU-11090-31363
4 vaccinations
17 coded responses
49 check-ins
16 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 940 / CA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Dose 1 — Pfizer-BioNTech
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2021-03-15
Registered in v-safe
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · NauseaFree text: Nauseated since getting shot. Almost diarrhea today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Upset tummyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-26
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2021-04-02
Dose 2 — Pfizer-BioNTech
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Feel a lot better than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Redness · Headache, Muscle or body achesFree text: Itchy whole bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Headache, Muscle or body achesAdult check-in
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2021-04-09
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-16
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2021-04-23
Survey response — day 21, dose 2MedDRA: Cough, SARS-CoV-2 test — Feeling: FairFree text: Cough but not worse. Tested for COVID. Not COVID.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 28, dose 2MedDRA: Cough, Office visit, SARS-CoV-2 test negative — Feeling: GoodFree text: Cough went to urgent careTested for COVID on April 22-Negative Monday, April, April 26, Saw primary Dr. and had a Albuteril treatment. Taking antibiotics and inhaler.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-14
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Fatigue, Medical counselling — Feeling: GoodFree text: Very tired for 2.5 months. Dr said not Covid or vax related.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-04
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2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Dyspepsia, Lymph node pain, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolFree text: Arm with injection. Lymph nodes feels like it will explode from under my arm. Right breast pain, very intense. Had breast surgery one year ago. Again, feels like something is really to explode out of breast. HeartburnMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Chromaturia, Dehydration, Fatigue — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Urine orange as in dehydrated. Drinking lots of water. Some breast pain as in day before. Not as tired today. It's been a little rough. Suggest to get shot on Friday if norm a M-F worker.MedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Muscle or body achesFree text: I feel a lot better today!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-10
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2021-10-11
Health check-in — day 7, dose 3Feeling: Good · Site: Redness, Itching · Chills, HeadacheAdult check-in
- 2021-10-18
- 2021-10-26
- 2021-11-02
- 2021-11-09
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2021-11-15
Survey response — day 42, dose 3MedDRA: Arthralgia, Injection site pain — Feeling: GoodFree text: Odd pain left arm (Injection site) and hip.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
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2022-04-02
Dose 4 — Pfizer-BioNTech
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2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Ear pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Ear acheMedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Chills, Joint pains, Muscle or body achesAdult check-in
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2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessFree text: Itchy bodyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
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2022-04-09
Survey response — day 7, dose 4MedDRA: Pruritus — Feeling: Good · Site: Redness, Itching · Headache, Muscle or body achesFree text: Itchy scalp snd itchy all over bodyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
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2022-04-23
Survey response — day 21, dose 4MedDRA: Fatigue, Gastrointestinal disorder, Loss of personal independence in daily activities, Pain in extremity — Feeling: FairFree text: Tired and lack of wanting to do anything. Stomach issues Arm acheMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-08
- 2022-05-14
- 2022-07-02
- 2022-10-02
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2023-04-02
Survey response — 12 months, dose 4MedDRA: Cough, Rhinorrhoea, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Nauseated since getting shot. Almost diarrhea today.
Systemic reaction (other): Upset tummy
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Feel a lot better than yesterday
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Itchy whole body
Release 7 — day 21, dose 2
Symptoms: Cough but not worse. Tested for COVID. Not COVID.
Release 8 — day 28, dose 2
Symptoms: Cough went to urgent careTested for COVID on April 22-Negative Monday, April, April 26, Saw primary Dr. and had a Albuteril treatment. Taking antibiotics and inhaler.
Release 9 — 3 months, dose 2
Symptoms: Cough
Release 9 — 6 months, dose 2
Symptoms: Very tired for 2.5 months. Dr said not Covid or vax related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm with injection. Lymph nodes feels like it will explode from under my arm. Right breast pain, very intense. Had breast surgery one year ago. Again, feels like something is really to explode out of breast. Heartburn
Systemic reaction (other): Urine orange as in dehydrated. Drinking lots of water. Some breast pain as in day before. Not as tired today. It's been a little rough. Suggest to get shot on Friday if norm a M-F worker.
Systemic reaction (other): I feel a lot better today!
Release 10 — day 42, dose 3
Symptoms: Odd pain left arm (Injection site) and hip.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Ear ache
Systemic reaction (other): Itchy body
Release 11 — day 7, dose 4
Systemic reaction (other): Itchy scalp snd itchy all over body
Release 11 — day 21, dose 4
Symptoms: Tired and lack of wanting to do anything. Stomach issues Arm ache
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 | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Chromaturia | · | · | ✓ |
| SRO | Dehydration | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release