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5JB-18677-17396

4 vaccinations 8 coded responses 17 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
871 / NM
Registered
2021-10-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-02
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-21
    Dose 3 — Pfizer-BioNTech
  4. 2021-10-28
    Registered in v-safe
  5. 2021-10-28
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  6. 2021-11-04
    Survey response — day 14, dose 3
    MedDRA: Bone pain, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very bad weird headache. My cheek bones hurt, my nose bone hurts, my eye socket bones hurt, the bones right in front of and right in back of both ears hurt.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  8. 2021-11-18
    Survey response — day 28, dose 3
    MedDRA: Chills, Diarrhoea, Discomfort, Ear congestion, Feeling cold, Head discomfort, Nasal congestion, Pyrexia, Sensory disturbance — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My ears & nose were stuffed up. My head feels like it's going to explode. I had chills, a fever & diarrhea. I have a really weird sensation in my rib cage, both arms & my face. It feels like they're cold (but they aren't). and heavy.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-27
    Survey response — day 35, dose 3
    MedDRA: Feeling cold — Feeling: Fair
    Free text: The really weird cold feeling has spread to my neck, face and upper back. I still have it on my arms and rib cage.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-12-04
    Survey response — day 42, dose 3
    MedDRA: Chills, Diarrhoea, Feeling cold, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: 2 days of throwing up 2 days of diarrhea 2 days of full body chills I still have the really weird cold sensation over most of my body now.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-20
    Survey response — 3 months, dose 3
    MedDRA: Peripheral coldness — Feeling: Good
    Free text: Not so much new, but a relapse for a week of that really strange cold feeling in the upper part of both arms (but the arms not feeling cold to the touch.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-09
    Dose 4 — Pfizer-BioNTech
  13. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2022-04-16
    Health check-in — day 7, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2022-04-23
    Survey response — day 14, dose 4
    MedDRA: Chills, Diarrhoea, Headache, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Throwing up, diarrhea, chills, horrible headache
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-30
    Survey response — day 21, dose 4
    MedDRA: Chills, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: fatigue, chills, headache
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-07
    Survey response — day 28, dose 4
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lingering fatigue
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-05-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-05-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-07-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  21. 2022-10-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  22. 2023-04-09
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Pfizer-BioNTech No
22021-04-02Pfizer-BioNTech No
32021-10-21Pfizer-BioNTech No
42022-04-09Pfizer-BioNTech No

Free text

Release 10 — day 14, dose 3

2021-11-04

Symptoms: Very bad weird headache. My cheek bones hurt, my nose bone hurts, my eye socket bones hurt, the bones right in front of and right in back of both ears hurt.

Release 10 — day 28, dose 3

2021-11-18

Symptoms: My ears & nose were stuffed up. My head feels like it's going to explode. I had chills, a fever & diarrhea. I have a really weird sensation in my rib cage, both arms & my face. It feels like they're cold (but they aren't). and heavy.

Release 10 — day 35, dose 3

2021-11-27

Symptoms: The really weird cold feeling has spread to my neck, face and upper back. I still have it on my arms and rib cage.

Release 10 — day 42, dose 3

2021-12-04

Symptoms: 2 days of throwing up 2 days of diarrhea 2 days of full body chills I still have the really weird cold sensation over most of my body now.

Release 10 — 3 months, dose 3

2022-01-20

Symptoms: Not so much new, but a relapse for a week of that really strange cold feeling in the upper part of both arms (but the arms not feeling cold to the touch.

Release 11 — day 14, dose 4

2022-04-23

Symptoms: Throwing up, diarrhea, chills, horrible headache

Release 11 — day 21, dose 4

2022-04-30

Symptoms: fatigue, chills, headache

Release 11 — day 28, dose 4

2022-05-07

Symptoms: Lingering fatigue

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
SDBone pain · · ✓
SDChills · · ✓
SDDiarrhoea · · ✓
SDDiscomfort · · ✓
SDEar congestion · · ✓
SDFatigue · · ✓
SDFeeling cold · · ✓
SDHead discomfort · · ✓
SDHeadache · · ✓
SDNasal congestion · · ✓
SDPeripheral coldness · · ✓
SDPyrexia · · ✓
SDSensory disturbance · · ✓
SDVomiting · · ✓

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