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6CJ-12977-57733

3 vaccinations 7 coded responses 13 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
021 / MA
Registered
2021-06-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-02
    Dose 2 — Pfizer-BioNTech
  3. 2021-06-04
    Registered in v-safe
  4. 2021-06-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Pain around hip flexors (maybe around lower lymph nodes)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache · Be unable to work
    Adult check-in
  7. 2021-06-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-09
    Survey response — day 7, dose 2
    MedDRA: Lower respiratory tract infection — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work
    Free text: I might have a chest cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-16
    Survey response — day 14, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Have had a cold for about ten days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-26
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-06-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-07
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-07-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-12-20
    Dose 3 — Moderna
  15. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Emotional distress, Herpes simplex, Pre-existing disease — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had a recurrence of herpes simplex type 1 genitally beginning 2.5 days after the vaccine booster, with resulting psychological distress
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-10
    Survey response — day 21, dose 3
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Joint pain associated with possible (not yet diagnosed) autoimmune condition
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-02-05
    Survey response — day 42, dose 3
    MedDRA: Arthralgia — Feeling: Fair
    Free text: I think the booster shot may have caused an autoimmune flare for me. I've had severe joint pain off and on since the booster. (I do not have a confirmed autoimmune condition, though I've been evaluated in the past for possible Rheumatoid Arthritis.)
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-10Pfizer-BioNTech
22021-06-02Pfizer-BioNTech
32021-12-20Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): Pain around hip flexors (maybe around lower lymph nodes)

2021-06-08

Systemic reaction (other): sore throat

Release 9 — day 7, dose 2

2021-06-09

Systemic reaction (other): I might have a chest cold

Release 9 — day 14, dose 2

2021-06-16

Symptoms: Have had a cold for about ten days

Release 10 — days 1–6 daily, dose 3

2021-12-23

Systemic reaction (other): I had a recurrence of herpes simplex type 1 genitally beginning 2.5 days after the vaccine booster, with resulting psychological distress

Release 10 — day 21, dose 3

2022-01-10

Symptoms: Joint pain associated with possible (not yet diagnosed) autoimmune condition

Release 11 — day 42, dose 3

2022-02-05

Symptoms: I think the booster shot may have caused an autoimmune flare for me. I've had severe joint pain off and on since the booster. (I do not have a confirmed autoimmune condition, though I've been evaluated in the past for possible Rheumatoid Arthritis.) cut off by CDC

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
SDArthralgia · · ✓
SDPre-existing disease ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROEmotional distress · · ✓
SROHerpes simplex · · ✓
SROLower respiratory tract infection ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPre-existing disease · · ✓

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