4WM-83642-47003
3 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 344 / FL
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Pfizer-BioNTech
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2021-03-27
Survey response — day 0, dose 1MedDRA: Nervousness — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Shaky feeling but not chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation — Feeling: GoodFree text: Left eye irritated for no reason but that could be anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-10
- 2021-04-17
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2021-04-23
Dose 2 — Pfizer-BioNTech
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Feeling hot — Feeling: Good · Site: Pain, Swelling · FeverFree text: Felt warm. Some stomach upset that went away and couldve been anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Nausea, VomitingAdult check-in
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose decreased, Malaise — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · FeverFree text: Just havent felt well, felt. A few hours ago I felt like I had low sugarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-05-01
- 2021-05-07
- 2021-05-14
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2021-05-21
Survey response — day 28, dose 2MedDRA: Gait disturbance, Headache, Sinus congestion — Feeling: FairFree text: Headaches off and on this week. Stuffiness. May be allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — day 35, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: My period is 10 days late. Definitely not pregnant, multiple negative tests. Not sure if its related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Now 17 days late for period, negative pregnancy tests. Had a couple days of lower than normal heart rate and headaches but again this could be anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-23
- 2021-10-22
-
2021-11-28
Dose 3 — Pfizer-BioNTech
- 2022-04-23
- 2022-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-11-28 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Shaky feeling but not chills
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Left eye irritated for no reason but that could be anything
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Felt warm. Some stomach upset that went away and couldve been anything
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Just havent felt well, felt. A few hours ago I felt like I had low sugar
Release 8 — day 28, dose 2
Symptoms: Headaches off and on this week. Stuffiness. May be allergies.
Release 8 — day 35, dose 2
Symptoms: My period is 10 days late. Definitely not pregnant, multiple negative tests. Not sure if its related to the vaccine.
Release 8 — day 42, dose 2
Symptoms: Now 17 days late for period, negative pregnancy tests. Had a couple days of lower than normal heart rate and headaches but again this could be anything
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 | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release