55D-19690-14050
2 vaccinations
3 coded responses
12 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 490 / MI
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YZZ-25254-09868
Adult relative or friend · Female · 2021-06-13
Timeline
-
2021-05-17
Dose 1 — Pfizer-BioNTech
-
2021-05-21
Registered in v-safe
-
2021-05-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-23
Survey response — days 1–6 daily, dose 1MedDRA: Fluid retention, Intermenstrual bleeding, Oedema — Feeling: Fair · Fatigue or tirednessFree text: A day after my shot, i experienced menstrual spotting (not normal for me @ mid-cycle) + edema (noticed extreme water retention in my legs day 2- now day 6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
-
2021-06-07
Dose 2 — Pfizer-BioNTech
-
2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Just a sunburn type rash down armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
-
2021-06-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-14
- 2021-06-22
- 2021-06-28
-
2021-07-08
Survey response — day 28, dose 2MedDRA: Brain fog, Fatigue, Office visit, Pancreatitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I recently was diagnosed with pancreatitis in April (not a result from covid vac). My typically good immune system hasn't been good at fighting off any ailment since my 1st vaccination in May. Easily fatigued & brain fog) · Healthcare visit (other): GP visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-08
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-13
- 2021-07-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-17 | Pfizer-BioNTech | |
| 2 | 2021-06-07 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): A day after my shot, i experienced menstrual spotting (not normal for me @ mid-cycle) + edema (noticed extreme water retention in my legs day 2- now day 6)
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Just a sunburn type rash down arms
Release 9 — day 28, dose 2
Symptoms: I recently was diagnosed with pancreatitis in April (not a result from covid vac). My typically good immune system hasn't been good at fighting off any ailment since my 1st vaccination in May. Easily fatigued & brain fog)
Healthcare visit (other): GP visit
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pancreatitis | ✓ | ✓ | ✓ |
| SRO | Fluid retention | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Oedema | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release