5BV-17313-09883
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 894 / NV
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Pfizer-BioNTech
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2021-03-20
Registered in v-safe
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2021-03-20
Survey response — day 14, dose 1MedDRA: Arthralgia, Breast pain, Myalgia, Neck pain, Palpitations, Paraesthesia, Rash, Vaccination site pain, Vision blurred — Feeling: Good · Be unable to do your normal daily activitiesFree text: March 4, 4-5 hours after vax, R hip and left breast moderate pain thru 3/10. 3/5, muscle/joint pain, flat pale rash, heart pounding lightly, increased temporary vision blurring, pain from vax site up thru neck, increased leg/arm tingling on vax side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pins and needles, very restless sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Light heart poundingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: Poor sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 7, dose 2MedDRA: Abdominal discomfort, Discomfort, Yellow skin — Feeling: Good · Site: Swelling · Headache, Abdominal painFree text: Yellow skin last 3 days, mild ruq abdominal discomfort and flank discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-16
Survey response — day 21, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-05-01
- 2021-05-09
- 2021-06-24
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech |
Free text
Release 6 — day 14, dose 1
Symptoms: March 4, 4-5 hours after vax, R hip and left breast moderate pain thru 3/10. 3/5, muscle/joint pain, flat pale rash, heart pounding lightly, increased temporary vision blurring, pain from vax site up thru neck, increased leg/arm tingling on vax side. cut off by CDC
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Pins and needles, very restless sleep
Systemic reaction (other): Light heart pounding
Systemic reaction (other): Poor sleep
Release 6 — day 7, dose 2
Systemic reaction (other): Yellow skin last 3 days, mild ruq abdominal discomfort and flank discomfort
Release 7 — day 21, dose 2
Symptoms: Headaches
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 | Breast pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Yellow skin | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release