55F-22613-69111
5 vaccinations
7 coded responses
59 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 038 / NH
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
NVQ-83629-18164
Child or adolescent in my care · Male · 2022-06-27
AYF-21858-82988
Child or adolescent in my care · Female · 2023-01-12
Timeline
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2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Registered in v-safe
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
-
2021-04-15
Survey response — day 7, dose 1MedDRA: Heavy menstrual bleeding, Oligomenorrhoea — Feeling: GoodFree text: Slightly longer and heavier menstrual cycle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-04-29
Dose 2 — Pfizer-BioNTech
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, DiarrheaFree text: Brain fog; had a reaction to the band-aidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: A was having some heart palpitations yesterday, not sure if it was vaccine related or due to my previously diagnosed PVCs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-12-16
Dose 3 — Pfizer-BioNTech
- 2021-12-16
-
2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal, Paraesthesia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: I did feel weird, light face tingles 1-2 hrs after the shot, but they went away after about 20-30 minsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Achey and sore in my underarm, possibly a tender lymph node, on the arm I received my shotMedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tender in the armpit area on the shot arm; maybe lymph node relatedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness, Unevaluable event — Feeling: Good · HeadacheFree text: Still a bit of tenderness in the armpit of my shot arm; lymph node maybeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-03-17
-
2022-06-03
Dose 4 — Pfizer-BioNTech
- 2022-06-16
- 2022-06-16
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-08
- 2022-07-15
- 2022-09-02
-
2022-10-21
Dose 5 — Pfizer-BioNTech
- 2022-10-21
-
2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Abdominal painAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2022-10-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Nausea, DiarrheaAdult check-in
- 2022-10-25
-
2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Nausea, Diarrhea, Abdominal painAdult check-in
- 2022-10-27
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2023-01-20
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-12-16 | Pfizer-BioNTech | No |
| 4 | 2022-06-03 | Pfizer-BioNTech | No |
| 5 | 2022-10-21 | Pfizer-BioNTech | No |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Slightly longer and heavier menstrual cycle.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog; had a reaction to the band-aid
Systemic reaction (other): A was having some heart palpitations yesterday, not sure if it was vaccine related or due to my previously diagnosed PVCs.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I did feel weird, light face tingles 1-2 hrs after the shot, but they went away after about 20-30 mins
Systemic reaction (other): Achey and sore in my underarm, possibly a tender lymph node, on the arm I received my shot
Systemic reaction (other): Tender in the armpit area on the shot arm; maybe lymph node related
Systemic reaction (other): Still a bit of tenderness in the armpit of my shot arm; lymph node maybe
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release