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
-
2021-03-12
Dose 1 — Pfizer-BioNTech
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2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-10-21
Dose 3 — Pfizer-BioNTech
-
2021-10-28
Registered in v-safe
- 2021-10-28
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2021-11-04
Survey response — day 14, dose 3MedDRA: Bone pain, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-11-11
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2021-11-18
Survey response — day 28, dose 3MedDRA: Chills, Diarrhoea, Discomfort, Ear congestion, Feeling cold, Head discomfort, Nasal congestion, Pyrexia, Sensory disturbance — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2021-11-27
Survey response — day 35, dose 3MedDRA: Feeling cold — Feeling: FairFree 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
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2021-12-04
Survey response — day 42, dose 3MedDRA: Chills, Diarrhoea, Feeling cold, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2022-01-20
Survey response — 3 months, dose 3MedDRA: Peripheral coldness — Feeling: GoodFree 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
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2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
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2022-04-23
Survey response — day 14, dose 4MedDRA: Chills, Diarrhoea, Headache, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Throwing up, diarrhea, chills, horrible headacheMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — day 21, dose 4MedDRA: Chills, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: fatigue, chills, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Survey response — day 28, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lingering fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-21
- 2022-07-09
- 2022-10-08
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | No |
| 2 | 2021-04-02 | Pfizer-BioNTech | No |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
Free text
Release 10 — day 14, dose 3
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
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
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
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
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
Symptoms: Throwing up, diarrhea, chills, horrible headache
Release 11 — day 21, dose 4
Symptoms: fatigue, chills, headache
Release 11 — day 28, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Bone pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Peripheral coldness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release