57A-27937-81591
4 vaccinations
21 coded responses
52 check-ins
20 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 442 / OH
- 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
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizzy and feel real unsteady on my feet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Productive cough — Feeling: Good · Muscle or body achesFree text: I've had a productive asthma cough on off since day one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Headache, NauseaFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: Arthralgia, Paranasal sinus discomfort, Pre-existing disease, Stenosis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint pain from stenosis and sinus pressure from allergies.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-18
Dose 3 — Pfizer-BioNTech
-
2021-10-19
Survey response — days 1–6 daily, dose 3MedDRA: Confusional state, Disturbance in attention, Dizziness, Feeling of body temperature change, Hot flush — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Hot and cold flashes. Confusion, dizziness, and unable to focus overnight.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Thinking abnormal — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Yes, I felt odd sensations in my thought process. As long as I stayed focus I was fine. It was unreal.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: GoodFree text: Overnight I had the dizziness a little felt like I was moving fast.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-23
- 2021-10-24
- 2021-10-27
-
2021-11-01
Survey response — day 14, dose 3MedDRA: Dizziness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The dizziness is back like I had when they gave me the vaccine. I never feel like this.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — day 21, dose 3MedDRA: Arthralgia, Culture urine negative, Influenza like illness, Urinary tract infection, Urine analysis, Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had severe joint pain. I had symptoms of a UTI with a positive screen and a negative culture. I was experiencing vertigo and felt like I had the flu without fever.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — day 28, dose 3MedDRA: Headache, Lower urinary tract symptoms, Self-medication, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The headache that I've had on and of was much worse, and my sinuses felt inflamed. I had to start Benedryl to avoid steroids. I've had headaches on and off over the month. I rarel get headaches. I also felt like I had a uti, Was tx but no growthory.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Survey response — day 35, dose 3MedDRA: Hyperglycaemia, Hyperkalaemia, Pain — Feeling: FairFree text: I don't think this is related to the vaccine.im going for a recheck today. I'm hyperkalemic and have hyperglycemia. It's probably not related to the vaccine and this is probably why I've been struggling with pain and other symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
-
2022-01-17
Survey response — 3 months, dose 3MedDRA: Bronchitis, Electrolyte imbalance, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: My electrolytes were off. I had a headache for over a month and I had bronchitis. Don't know if i mentioned those before.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-17
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-10-11
Dose 4 — ModernaCo-administered: Flu
-
2022-10-11
Survey response — day 0, dose 4MedDRA: Asthma, Procedural pain — Feeling: Good · Site: Pain · FeverFree text: Mild asthma and mild pain at surgical site on neckMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain, Procedural pain — Feeling: Good · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Increased tenderness and sorr throat at the surgical neck siteMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Survey response — days 1–6 daily, dose 4MedDRA: Parathyroidectomy, Procedural pain — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I'm having worse pain in my surgical site on my neck. I had a parathyroidectomy two weeks ago.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · Muscle or body achesAdult check-in
-
2022-10-15
Survey response — days 1–6 daily, dose 4MedDRA: Asthma, Chest pain, Disturbance in attention, Dizziness, Dyspnoea, Tremor — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: I felt real dizzy today and less focussed. Asthma symptoms, short of breath used rescue inhaler then shakey. The incision improved but had pain in my right chest.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Procedural pain — Feeling: GoodFree text: Pain at the surgical sitesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-18
-
2022-10-25
Survey response — day 14, dose 4MedDRA: Headache, Nasal congestion, Nasopharyngitis, Nausea — Feeling: GoodFree text: I had a cold. With a headache, stuffy nose, nausea. I drank elderbery tea with hybiscus and licorice, and possible some other blowers mixed in. This helped tremendously with a Steroid Nasal speayMedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — day 21, dose 4MedDRA: Eczema, Erythema, Nasopharyngitis — Feeling: GoodFree text: The redness on my arm wasn't bad but was still there last week. I also have mild eczema in one area on my chest. I also had cold symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-08
Survey response — day 28, dose 4MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had the Prevnar 20 and the shingix vaccines yesterday so I'm achey. The provider gave me the shingrix on the other arm than last time because there was a subtle redness on the arm remaining from two weeks ago.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-22
-
2023-01-10
Survey response — 3 months, dose 4MedDRA: Office visit, Pain in jaw — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-10
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-11
-
2023-01-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
| 4 | 2022-10-11 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy and feel real unsteady on my feet.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I've had a productive asthma cough on off since day one.
Systemic reaction (other): Dizzy
Release 10 — 6 months, dose 2
Symptoms: Joint pain from stenosis and sinus pressure from allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Hot and cold flashes. Confusion, dizziness, and unable to focus overnight.
Systemic reaction (other): Yes, I felt odd sensations in my thought process. As long as I stayed focus I was fine. It was unreal.
Systemic reaction (other): Overnight I had the dizziness a little felt like I was moving fast.
Release 10 — day 14, dose 3
Symptoms: The dizziness is back like I had when they gave me the vaccine. I never feel like this.
Release 10 — day 21, dose 3
Symptoms: I had severe joint pain. I had symptoms of a UTI with a positive screen and a negative culture. I was experiencing vertigo and felt like I had the flu without fever.
Release 10 — day 28, dose 3
Symptoms: The headache that I've had on and of was much worse, and my sinuses felt inflamed. I had to start Benedryl to avoid steroids. I've had headaches on and off over the month. I rarel get headaches. I also felt like I had a uti, Was tx but no growthory. cut off by CDC
Release 10 — day 35, dose 3
Symptoms: I don't think this is related to the vaccine.im going for a recheck today. I'm hyperkalemic and have hyperglycemia. It's probably not related to the vaccine and this is probably why I've been struggling with pain and other symptoms.
Release 10 — 3 months, dose 3
Symptoms: My electrolytes were off. I had a headache for over a month and I had bronchitis. Don't know if i mentioned those before.
Release 12 — day 0, dose 4
Systemic reaction (other): Mild asthma and mild pain at surgical site on neck
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Increased tenderness and sorr throat at the surgical neck site
Systemic reaction (other): I'm having worse pain in my surgical site on my neck. I had a parathyroidectomy two weeks ago.
Systemic reaction (other): I felt real dizzy today and less focussed. Asthma symptoms, short of breath used rescue inhaler then shakey. The incision improved but had pain in my right chest.
Systemic reaction (other): Pain at the surgical sites
Release 12 — day 14, dose 4
Symptoms: I had a cold. With a headache, stuffy nose, nausea. I drank elderbery tea with hybiscus and licorice, and possible some other blowers mixed in. This helped tremendously with a Steroid Nasal speay
Release 12 — day 21, dose 4
Symptoms: The redness on my arm wasn't bad but was still there last week. I also have mild eczema in one area on my chest. I also had cold symptoms.
Release 12 — day 28, dose 4
Symptoms: I had the Prevnar 20 and the shingix vaccines yesterday so I'm achey. The provider gave me the shingrix on the other arm than last time because there was a subtle redness on the arm remaining from two weeks ago.
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 | Arthralgia | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Culture urine negative | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Electrolyte imbalance | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperglycaemia | · | · | ✓ |
| SD | Hyperkalaemia | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lower urinary tract symptoms | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Stenosis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Urine analysis | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Feeling of body temperature change | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Parathyroidectomy | · | · | ✓ |
| SRO | Procedural pain | · | · | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Thinking abnormal | · | · | ✓ |
| SRO | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release