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5AA-17601-77521

2 vaccinations 5 coded responses 8 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
852 / AZ
Registered
2021-04-19
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-03-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-19
    Registered in v-safe
  4. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Eye pain, Eye pruritus, Fatigue, Lacrimation increased, Pain, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Two days of body soreness; little dizziness; sinus drain; sore itchy watery eyes; increased fatigue. *Note: Feel better today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-05-14
    Survey response — day 35, dose 2
    MedDRA: Paranasal sinus hypersecretion, Swelling face — Feeling: Good
    Free text: Cheek swelling. Sinus drain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-22
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Head discomfort, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Heavy head; increased sinus secretions; more fatigue; left arm aches along with limb soreness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-09
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Joint range of motion decreased, Musculoskeletal stiffness, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle stiffness and aches in upper left arm and shoulder near vaccine area; pain along with shortened range of motion left arm only.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-10-08
    Survey response — 6 months, dose 2
    MedDRA: Injection site pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscle pain at the shot sight in left shoulder.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Pfizer-BioNTech
22021-04-08Pfizer-BioNTech

Free text

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Two days of body soreness; little dizziness; sinus drain; sore itchy watery eyes; increased fatigue. *Note: Feel better today.

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Cheek swelling. Sinus drain.

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Heavy head; increased sinus secretions; more fatigue; left arm aches along with limb soreness.

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Muscle stiffness and aches in upper left arm and shoulder near vaccine area; pain along with shortened range of motion left arm only.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Muscle pain at the shot sight in left shoulder.

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
SDArthralgia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEye pain ✓ ✓ ✓
SDEye pruritus ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDInjection site pain · · ✓
SDJoint range of motion decreased ✓ ✓ ✓
SDLacrimation increased ✓ ✓ ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParanasal sinus hypersecretion ✓ ✓ ✓
SDSwelling face ✓ ✓ ✓

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