537-11189-51184
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-13
Dose 1 — Pfizer-BioNTech
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2021-04-14
Registered in v-safe
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme irritability and left eye feels like scratched or hair in it and not ( roomate had all same symptoms yesterday as well shot same day , but he is less tired and eye is betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Under arm lymph nodes of injected arm very very soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Under arm lymph node aches stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tirednessFree text: Under armpit lymph node feeling betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Under arm still tender lymph node area , but improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-04-29
Survey response — day 14, dose 1MedDRA: Anosmia, Decreased appetite, Fatigue, Groin pain, Headache, Irritability — Feeling: FairFree text: More tired headach groin ache and irritable with a lossmof appetite not taste or smell but juat exhausted emotional tired nightmares and groin achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Extreme irritability and left eye feels like scratched or hair in it and not ( roomate had all same symptoms yesterday as well shot same day , but he is less tired and eye is better
Systemic reaction (other): Under arm lymph nodes of injected arm very very sore
Systemic reaction (other): Under arm lymph node aches still
Systemic reaction (other): Under armpit lymph node feeling better
Systemic reaction (other): Under arm still tender lymph node area , but improving
Release 8 — day 14, dose 1
Symptoms: More tired headach groin ache and irritable with a lossmof appetite not taste or smell but juat exhausted emotional tired nightmares and groin aches
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 | Anosmia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Groin pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release