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539-13853-33642

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
532 / WI
Registered
2021-01-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-24
    Registered in v-safe
  3. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck pain — Feeling: Poor · Site: Pain · Nausea
    Free text: Soreness in bottom of neck on left side. Shot was in keft shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Device information output issue, Gait disturbance, Hypersensitivity, Pain in extremity, Positive airway pressure therapy, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I forgot to report the following 1./22 and 1/23 severe pain in calves and could hardly walk. Also my C-Pap reading for both nights were extremely high 5.5 snd 6.5. Usually .1 to 2.5. My body also reacts to Sodium ingredients etc.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness
    Free text: Actually every day and I forgot to check. Sorry
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-11
    Survey response — day 21, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good
    Free text: Neck on left side is still a bit stiff
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-12
    Dose 2 — Pfizer-BioNTech
  11. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Neck pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Neck pain left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint swelling, Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: I get reactions from all sodium based things. My knee joints swell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Arm pain is when I use arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-02-26
    Survey response — day 14, dose 2
    MedDRA: Injection site pain, Musculoskeletal stiffness, Pain — Feeling: Good
    Free text: Pain still at injection site when I move my arm and lower neck is still stiff
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Body temperature increased, Nausea — Feeling: Good
    Free text: Nausea that lasted 5 hours. No vomiting. Temp of 97.5. My normal is 95.4
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-02-14
    Survey response — 12 months, dose 2
    MedDRA: Muscle spasms, Myalgia — Feeling: Good
    Free text: Severe spasms on the right side of my neck which were very painful and lasted several days and then went to the right side. It was like a Charlie Horse you get in your legs however impossible to walk off. Jan/Feb shots issues hapoened Sept 2021
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Pfizer-BioNTech
22021-02-12Pfizer-BioNTech

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Soreness in bottom of neck on left side. Shot was in keft shoulder

2021-01-25

Systemic reaction (other): I forgot to report the following 1./22 and 1/23 severe pain in calves and could hardly walk. Also my C-Pap reading for both nights were extremely high 5.5 snd 6.5. Usually .1 to 2.5. My body also reacts to Sodium ingredients etc.

2021-01-27

Systemic reaction (other): Actually every day and I forgot to check. Sorry

Release 4 — day 21, dose 1

2021-02-11

Symptoms: Neck on left side is still a bit stiff

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Neck pain left side

2021-02-16

Systemic reaction (other): I get reactions from all sodium based things. My knee joints swell

2021-02-18

Systemic reaction (other): Arm pain is when I use arm

Release 4 — day 14, dose 2

2021-02-26

Symptoms: Pain still at injection site when I move my arm and lower neck is still stiff

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Nausea that lasted 5 hours. No vomiting. Temp of 97.5. My normal is 95.4

Release 11 — 12 months, dose 2

2022-02-14

Symptoms: Severe spasms on the right side of my neck which were very painful and lasted several days and then went to the right side. It was like a Charlie Horse you get in your legs however impossible to walk off. Jan/Feb shots issues hapoened Sept 2021

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
SDBody temperature increased ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMuscle spasms · · ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDMyalgia · · ✓
SDNausea ✓ ✓ ✓
SDPain · · ✓
SROAdverse reaction ✓ ✓ ✓
SRODevice information output issue ✓ · ✓
SROGait disturbance ✓ ✓ ✓
SROHypersensitivity ○ ✓ ○
SROJoint swelling ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPositive airway pressure therapy ○ ✓ ○
SROPre-existing disease ✓ · ✓
SROUnevaluable event ○ ✓ ○

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