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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

  1. 2021-03-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Somnolence — Feeling: Good
    Free 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
  8. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · Headache, Nausea
    Adult check-in
  10. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Decreased appetite, Eating disorder, Headache, Self-medication — Feeling: Fair
    Free 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
  11. 2021-04-01
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  14. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-07-02
    Survey response — 3 months, dose 2
    MedDRA: Burning mouth syndrome — Feeling: Good
    Free text: Burning Mouth Syndrome- mouth constantly feels like its on fire.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-09-02
    Dose 3 — Pfizer-BioNTech
  22. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-10-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-10-14
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Pfizer-BioNTech
22021-04-01Pfizer-BioNTech
32021-09-02Pfizer-BioNTech No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

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

2021-03-25

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

2021-04-02

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

2021-07-02

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

FieldPreferred term2021-092023-042024-11
SDBurning mouth syndrome ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDEating disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODysstasia ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROTremor ✓ ✓ ✓
SROUrinary tract infection ✓ ✓ ✓

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