5LB-19637-30399
4 vaccinations
6 coded responses
45 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 477 / IN
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Pfizer-BioNTech
-
2021-01-29
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: Good · Site: Pain · HeadacheFree text: a bit flushed in the cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Asthenopia — Feeling: Good · Site: PainFree text: tired eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
-
2021-02-19
Dose 2 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-21
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: just an occasional tired feeling.. comes and goes, nothing major.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-05-21
Survey response — 3 months, dose 2MedDRA: Dry mouth, Oral mucosal exfoliation, Oral pain, Stomatitis — Feeling: GoodFree text: I had an irritation olin my mouth for two weeks that I have never had before.. Began around May 5th.. very painful, very dry mouth, some sloughing on gums. Could be a reaction to cinnamon in my coffee but have no idea. It is pretty much healed noMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-20
-
2021-09-26
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Fatigue, Headache, Pain in extremity, Pyrexia — Feeling: GoodFree text: i want to report I had a lot of symptoms the day after my vaccine but all were hone within 24 hours. Sore arm, fatigue, brain fog, feverish, headache.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2021-12-26
- 2022-03-27
-
2022-04-08
Dose 4 — Pfizer-BioNTech
- 2022-04-14
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Arthralgia, Fatigue, Headache, Pyrexia, Self-medication — Feeling: GoodFree text: only on the day after my injection (Apr 9 ) did I experience headache, joint pain, tiredness. a bit feverish. took tylenol all was gone the next day.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): a bit flushed in the cheeks
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): tired eyes
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): just an occasional tired feeling.. comes and goes, nothing major.
Release 8 — 3 months, dose 2
Symptoms: I had an irritation olin my mouth for two weeks that I have never had before.. Began around May 5th.. very painful, very dry mouth, some sloughing on gums. Could be a reaction to cinnamon in my coffee but have no idea. It is pretty much healed no cut off by CDC
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): i want to report I had a lot of symptoms the day after my vaccine but all were hone within 24 hours. Sore arm, fatigue, brain fog, feverish, headache.
Release 11 — day 7, dose 4
Systemic reaction (other): only on the day after my injection (Apr 9 ) did I experience headache, joint pain, tiredness. a bit feverish. took tylenol all was gone the next day.
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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Oral mucosal exfoliation | ✓ | ✓ | ✓ |
| SD | Oral pain | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release