5M9-23621-83200
3 vaccinations
6 coded responses
16 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 473 / IN
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-20
Dose 1 — Pfizer-BioNTech
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2021-01-11
Dose 2 — Pfizer-BioNTech
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2021-02-16
Registered in v-safe
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2021-02-16
Survey response — day 35, dose 2MedDRA: Chills, Headache, Influenza like illness, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: About 20hrs after getting the 2nd vaccine. I felt flu like symptoms, cold chills, fever no higher than 100.2 headache, and extreme body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-07-12
Survey response — 6 months, dose 2MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: FairFree text: Headache, arm pain and shoulder pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-22
Dose 3 — Pfizer-BioNTech
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-14
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2021-11-19
Survey response — day 28, dose 3MedDRA: Chest pain, Headache, Pain — Feeling: FairFree text: Headache and and a dull but quick sharp chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-03
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2022-01-21
Survey response — 3 months, dose 3MedDRA: Cough, Fatigue, Migraine, Pyrexia — Feeling: PoorFree text: Cough, Migraine, feverish some fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — 6 months, dose 3MedDRA: Asthenia, Fatigue, Headache — Feeling: PoorFree text: Headaches all the time, I feel tired all the time, no energy!MedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Survey response — 12 months, dose 3MedDRA: COVID-19, Coagulation time shortened, Office visit — Feeling: FairFree text: I had covid again for the 2nd time. I have both 1st and 2nd shot plus a booster . So know i have had 3vaccinations and have had covid twice within a year. I have also went to the doctor recently and they have found that my blood is clottingMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-20 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
Free text
Release 4 — day 35, dose 2
Symptoms: About 20hrs after getting the 2nd vaccine. I felt flu like symptoms, cold chills, fever no higher than 100.2 headache, and extreme body aches.
Release 9 — 6 months, dose 2
Symptoms: Headache, arm pain and shoulder pain.
Release 10 — day 28, dose 3
Symptoms: Headache and and a dull but quick sharp chest pain
Release 11 — 3 months, dose 3
Symptoms: Cough, Migraine, feverish some fatigue
Release 11 — 6 months, dose 3
Symptoms: Headaches all the time, I feel tired all the time, no energy!
Release 12 — 12 months, dose 3
Symptoms: I had covid again for the 2nd time. I have both 1st and 2nd shot plus a booster . So know i have had 3vaccinations and have had covid twice within a year. I have also went to the doctor recently and they have found that my blood is clotting
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 | Asthenia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Coagulation time shortened | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Neck pain | ○ | ○ | ○ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release