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54C-15086-90153

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
210 / MD
Registered
2021-03-20
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-20
    Survey response — day 0, dose 1
    MedDRA: Injection site haemorrhage — Feeling: Good · Site: Redness
    Free text: Bleed a small amount at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-10
    Dose 2 — Pfizer-BioNTech
  9. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Injection site pain, Malaise — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mild headache, tiredness, pain in injection site, over all didnt feel to good today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Stinging pain in side of left breast. Shot was given in left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site pain — Feeling: Fair · Site: Pain, Redness · Muscle or body aches
    Free text: My left arm where I received the shot is red and sore to the touch, where the redness is located. Which is below and to the side where the shot was giving.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness · Muscle or body aches
    Free text: Muscle pains in my left, where the shot was given.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Muscle or body aches
    Adult check-in
  15. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-24
    Survey response — day 14, dose 2
    MedDRA: Musculoskeletal chest pain, Musculoskeletal stiffness — Feeling: Fair
    Free text: Pain under left rib side of both shots. And arm still a little stiff.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Joint stiffness — Feeling: Fair
    Free text: The joint in my left arm where the shot was given, feels like its stiff all the time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Pfizer-BioNTech
22021-04-10Pfizer-BioNTech

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Bleed a small amount at injection site.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Mild headache, tiredness, pain in injection site, over all didnt feel to good today.

2021-04-12

Systemic reaction (other): Stinging pain in side of left breast. Shot was given in left arm.

2021-04-13

Systemic reaction (other): My left arm where I received the shot is red and sore to the touch, where the redness is located. Which is below and to the side where the shot was giving.

2021-04-14

Systemic reaction (other): Muscle pains in my left, where the shot was given.

Release 7 — day 14, dose 2

2021-04-24

Symptoms: Pain under left rib side of both shots. And arm still a little stiff.

Release 8 — day 21, dose 2

2021-05-01

Symptoms: The joint in my left arm where the shot was given, feels like its stiff all the time.

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
SDJoint stiffness ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site haemorrhage ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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