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57W-53435-15712

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
321 / FL
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness
    Free text: Dizzyness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-15
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Headache — Feeling: Fair
    Free text: Headaches in different parts of head. Joint pain all over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Dose 2 — Pfizer-BioNTech
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-03-23
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Dizzyness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-30
    Survey response — day 14, dose 2
    MedDRA: Eyelid oedema, Toothache — Feeling: Fair
    Free text: Swollen eye lids, teeth hurt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-06
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Back pain, Swelling of eyelid — Feeling: Fair
    Free text: Rt. Knee, back hurts. Rt eye has swollen eye lid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-13
    Survey response — day 28, dose 2
    MedDRA: Back pain, Cough, Injection site pruritus — Feeling: Fair
    Free text: Coughing, itching below injection site. Have sore lower right back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-04-27
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Pruritus — Feeling: Fair
    Free text: Really itchy left arm at elbow & below, all around. Still tired also.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-15
    Survey response — 3 months, dose 2
    MedDRA: Groin pain, Office visit, Pain in extremity, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Very painful right groin & upper thigh areas. Dr days it's from my back, weird! He ordered MRI of area. Also, left arm near elbow is still very itchy. · Healthcare visit (other): In office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-15
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-23
  16. 2021-09-14
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2022-01-09
  18. 2022-03-16
    Survey response — 12 months, dose 2
    MedDRA: Herpes zoster, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Got Shingles flare up last week. Never had them before, very painful. · Healthcare visit (other): Dermatologist
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-03-16
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-03-17

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Pfizer-BioNTech
22021-03-16Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Dizzyness

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Headaches in different parts of head. Joint pain all over.

Release 6 — day 7, dose 2

2021-03-23

Systemic reaction (other): Dizzyness

Release 6 — day 14, dose 2

2021-03-30

Symptoms: Swollen eye lids, teeth hurt

Release 7 — day 21, dose 2

2021-04-06

Symptoms: Rt. Knee, back hurts. Rt eye has swollen eye lid.

Release 7 — day 28, dose 2

2021-04-13

Symptoms: Coughing, itching below injection site. Have sore lower right back.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Really itchy left arm at elbow & below, all around. Still tired also.

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: Very painful right groin & upper thigh areas. Dr days it's from my back, weird! He ordered MRI of area. Also, left arm near elbow is still very itchy.
Healthcare visit (other): In office visit

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Got Shingles flare up last week. Never had them before, very painful.
Healthcare visit (other): Dermatologist

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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDEyelid oedema ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGroin pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHerpes zoster · · ✓
SDInjection site pruritus ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSwelling of eyelid ✓ ✓ ✓
SDToothache ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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