53G-27710-59034
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 596 / MT
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Pfizer-BioNTech
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Burning sensation, Eye pruritus, Hypersensitivity, Immediate post-injection reaction, Lip swelling, Lymph node pain, Oropharyngeal pain, Periorbital swelling, Pruritus, Tongue discomfort — Feeling: Fair · Site: PainFree text: Yes. I had allergic reaction immediately after getting the shot. Puffy lips and eyes, burning face and tongue, pain in neck glands and throat, followed by itchy eyes and arms. It is mostly bit not entirely gone today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Fair · Site: Pain · ChillsFree text: Chills started last night and continued until this morning. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
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2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-16
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-20
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: Runny nose, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Nasopharyngitis, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Thought I was coming down sick with a cold, but that got over after a few hours. Probably was a bad hay fever attack.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-07
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2021-05-14
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Good · Be unable to workFree text: Sharp stomach pains and diarrhea. Could not pinpoint a cause. Lasted a day and a half.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-29
- 2021-07-16
- 2021-10-17
- 2022-04-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yes. I had allergic reaction immediately after getting the shot. Puffy lips and eyes, burning face and tongue, pain in neck glands and throat, followed by itchy eyes and arms. It is mostly bit not entirely gone today.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Chills started last night and continued until this morning. No fever.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose, sneezing
Systemic reaction (other): Thought I was coming down sick with a cold, but that got over after a few hours. Probably was a bad hay fever attack.
Release 8 — day 28, dose 2
Symptoms: Sharp stomach pains and diarrhea. Could not pinpoint a cause. Lasted a day and a half.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ○ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Periorbital swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release