67M-90278-59198
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 541 / WI
- Registered
- 2021-06-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-02
Registered in v-safe
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2021-06-02
Dose 1 — Pfizer-BioNTech
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2021-06-02
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, ItchingFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-04
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Asthenia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms severe and totally debilitating (like when I had COVID) yesteray noon through about midnight last night then improved some.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-06-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-08
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Headache, Fatigue or tiredness, DiarrheaFree text: Had several hours of diarrhea yesterday. Not sure if related to vaccine??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
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2021-06-16
Survey response — day 14, dose 1MedDRA: Oedema peripheral, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling edema in my distal legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-23
Survey response — day 21, dose 1MedDRA: Fatigue, Oedema peripheral — Feeling: GoodFree text: Still have edema in my lower legs and tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
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2021-07-15
Survey response — day 42, dose 1MedDRA: Oedema peripheral — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I still have edema in my ankles. Is has improved slightly but is still present and was not there before the first vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-15
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2022-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-02 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): No
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms severe and totally debilitating (like when I had COVID) yesteray noon through about midnight last night then improved some.
Systemic reaction (other): Had several hours of diarrhea yesterday. Not sure if related to vaccine??
Release 9 — day 14, dose 1
Symptoms: Swelling edema in my distal legs
Release 9 — day 21, dose 1
Symptoms: Still have edema in my lower legs and tired.
Release 9 — day 42, dose 1
Symptoms: I still have edema in my ankles. Is has improved slightly but is still present and was not there before the first vaccine.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release