54M-25777-03007
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 010 / MA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
L4T-60838-67294
Child or adolescent in my care · · 2022-11-15
Timeline
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2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Pfizer-BioNTech
- 2021-04-10
- 2021-04-11
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-17
- 2021-04-24
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2021-05-01
Dose 2 — Pfizer-BioNTech
- 2021-05-01
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Nerve compression — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Axillary lymph node swollen? Pinched nerve?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, DiarrheaAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-15
- 2021-05-22
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2021-05-29
Survey response — day 28, dose 2MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Continued migraine since vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-12
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2021-07-31
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Had a cold for a few days. Congestion, sore throat mostly.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-30
Survey response — 6 months, dose 2MedDRA: Anosmia — Feeling: FairFree text: Loss of smell, not totally but I only smell strong smells now. It's been since my second vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-12-20
Dose 3 — ModernaCo-administered: Flu
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2022-05-01
Survey response — 12 months, dose 2MedDRA: Anosmia, Brain fog, COVID-19, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had covid 12/2021. It took a good six weeks before I felt like I was over it. Long term exhaustion and brain fog have been notable. I lost sense of smell for about 2-3 months, mostly back now.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
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2022-12-20
Survey response — 12 months, dose 3MedDRA: Chills, Cough, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a bad respiratory cold, cough, sore throat, congestion, chills, body aches.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Pfizer-BioNTech | |
| 2 | 2021-05-01 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Moderna | Flu |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Axillary lymph node swollen? Pinched nerve?
Release 8 — day 28, dose 2
Symptoms: Continued migraine since vaccination.
Release 9 — 3 months, dose 2
Symptoms: Had a cold for a few days. Congestion, sore throat mostly.
Release 10 — 6 months, dose 2
Symptoms: Loss of smell, not totally but I only smell strong smells now. It's been since my second vaccine.
Release 11 — 12 months, dose 2
Symptoms: Had covid 12/2021. It took a good six weeks before I felt like I was over it. Long term exhaustion and brain fog have been notable. I lost sense of smell for about 2-3 months, mostly back now.
Release 12 — 12 months, dose 3
Symptoms: Had a bad respiratory cold, cough, sore throat, congestion, chills, body 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 | Brain fog | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nerve compression | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release