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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

  1. 2021-03-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-20
    Registered in v-safe
  3. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Breast pain, Myalgia, Neck pain, Palpitations, Paraesthesia, Rash, Vaccination site pain, Vision blurred — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  4. 2021-03-25
    Dose 2 — Pfizer-BioNTech
  5. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Pins and needles, very restless sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Free text: Light heart pounding
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  10. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  11. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness
    Free text: Poor sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-02
    Survey response — day 7, dose 2
    MedDRA: Abdominal discomfort, Discomfort, Yellow skin — Feeling: Good · Site: Swelling · Headache, Abdominal pain
    Free text: Yellow skin last 3 days, mild ruq abdominal discomfort and flank discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-16
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Pfizer-BioNTech
22021-03-25Pfizer-BioNTech

Free text

Release 6 — day 14, dose 1

2021-03-20

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

2021-03-26

Systemic reaction (other): Pins and needles, very restless sleep

2021-03-27

Systemic reaction (other): Light heart pounding

2021-03-31

Systemic reaction (other): Poor sleep

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Yellow skin last 3 days, mild ruq abdominal discomfort and flank discomfort

Release 7 — day 21, dose 2

2021-04-16

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDVaccination site pain ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓
SROYellow skin ✓ ✓ ✓

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