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4UG-31411-89034

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
815 / CO
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-15
    Registered in v-safe
  3. 2021-03-15
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-15
    Health check-in — day 0, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature abnormal — Feeling: Fair · Fever · Chills, Muscle or body aches
    Free text: My symptoms are from the morning, this afternoon I am feeling much better and temp is back to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  8. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Haemorrhage urinary tract — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: I did pass a blood clot in my urine last night (i do have a hx of kidney stones)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-22
    Survey response — day 7, dose 2
    MedDRA: Feeling cold — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Last night i was quite cold , my husband was surprised to find me with space heater and blanket
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-30
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-05
    Survey response — day 21, dose 2
    MedDRA: Salivary gland enlargement, Salivary gland pain — Feeling: Good
    Free text: My salivary glands became swollen and painful to the point I thought I was having dental problems, it resolved its self and I am fine now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-15
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Pfizer-BioNTech
22021-03-15Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): My symptoms are from the morning, this afternoon I am feeling much better and temp is back to normal

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): I did pass a blood clot in my urine last night (i do have a hx of kidney stones)

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Last night i was quite cold , my husband was surprised to find me with space heater and blanket

Release 6 — day 21, dose 2

2021-04-05

Symptoms: My salivary glands became swollen and painful to the point I thought I was having dental problems, it resolved its self and I am fine now

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
SDSalivary gland enlargement ✓ ✓ ✓
SDSalivary gland pain ✓ ✓ ✓
SROBody temperature abnormal ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROHaemorrhage urinary tract ✓ ✓ ✓

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