5ZJ-15400-51774
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 559 / MN
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-03-12
Registered in v-safe
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
- 2021-03-15
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: GoodFree text: Just very sleepy. Not fatigued or tired, but sleepy. I slept 11 hours last night! I have MS, so it could just be still hitting me in this way?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
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2021-03-25
Survey response — day 14, dose 1MedDRA: Decreased appetite, Eating disorder, Headache, Self-medication — Feeling: FairFree text: I am having a hard time eating. Not sick to my stomach, but I dont want to eat. No hunger. More headaches. Daily use if Tylenol or aspirin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Pfizer-BioNTech
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2021-04-01
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Dysstasia, Emergency care, Pyrexia, Tremor, Urinary tract infection — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I had bad chills, fever & shakes about 2 hours after shot. Couldnt stand up. Called 911. It seemed like I had a UTI and the vaccine reaction compounded the issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Burning mouth syndrome — Feeling: GoodFree text: Burning Mouth Syndrome- mouth constantly feels like its on fire.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-02
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-02
- 2021-10-07
- 2021-10-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-09-02 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Just very sleepy. Not fatigued or tired, but sleepy. I slept 11 hours last night! I have MS, so it could just be still hitting me in this way?
Release 6 — day 14, dose 1
Symptoms: I am having a hard time eating. Not sick to my stomach, but I dont want to eat. No hunger. More headaches. Daily use if Tylenol or aspirin.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I had bad chills, fever & shakes about 2 hours after shot. Couldnt stand up. Called 911. It seemed like I had a UTI and the vaccine reaction compounded the issue.
Release 9 — 3 months, dose 2
Symptoms: Burning Mouth Syndrome- mouth constantly feels like its on fire.
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 | Burning mouth syndrome | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Eating disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dysstasia | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release