59W-71476-84979
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 483 / MI
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Pfizer-BioNTech
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2021-01-09
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I take warfarin x 7 yrs due to positive Lupus Anticoagulant Hx single episode AfibMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Please add- I have Hx of Pulmonary embolism and DVT and OsteoporosisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Fatigue may be due to my difficulty sleeping-MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Awoke at 6:00am w chills and headache-Didn't check my temperature-Symptoms lasted about 2 hours then resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis, Rhinorrhoea, Throat irritation — Feeling: Good · Fatigue or tirednessFree text: Feel like I'm getting a cold-back of throat a little scratchy- runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Nasal congestion, Throat irritation — Feeling: Poor · Fever · Fatigue or tirednessFree text: Scratchy sore throat, nasal congestion, mild bilateral ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased, Dysphonia, Nasal congestion, Throat irritation — Feeling: Fair · Fatigue or tirednessFree text: Very scratchy throat, bilateral ear ache, mild hoarseness, temp 99.1 Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — day 7, dose 1MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Runny nose occasional coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-30
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2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-13
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-07
- 2022-02-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): I take warfarin x 7 yrs due to positive Lupus Anticoagulant Hx single episode Afib
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Please add- I have Hx of Pulmonary embolism and DVT and Osteoporosis
Systemic reaction (other): Fatigue may be due to my difficulty sleeping-
Systemic reaction (other): Awoke at 6:00am w chills and headache-Didn't check my temperature-Symptoms lasted about 2 hours then resolved
Systemic reaction (other): Feel like I'm getting a cold-back of throat a little scratchy- runny nose
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Scratchy sore throat, nasal congestion, mild bilateral ear ache
Systemic reaction (other): Very scratchy throat, bilateral ear ache, mild hoarseness, temp 99.1 Stuffy nose
Release 2 — day 7, dose 1
Systemic reaction (other): Runny nose occasional cough
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 | Atrial fibrillation | ○ | ○ | ○ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release