6H4-48216-57744
6 vaccinations
15 coded responses
73 check-ins
14 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-17
Registered in v-safe
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2021-02-17
Dose 1 — Pfizer-BioNTech
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2021-02-17
Survey response — day 0, dose 1MedDRA: Pain, Pre-existing disease, Temporomandibular joint syndrome — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: TMJ pain on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Temporomandibular joint syndrome, Ulcer — Feeling: Good · Site: PainFree text: TMJ Pain (Left Side, Mild); Nose Ulcer (Right Nostril)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Nasal ulcer — Feeling: GoodFree text: Nose Ulcer (Right Nostril)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: These symptoms are most likely due to having a Lupus flareMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms are most likely due to a Lupus flare-upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms most likely due to Lupus flare-upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-07
Dose 2 — Pfizer-BioNTech
- 2021-03-07
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-15
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-06-06
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2021-08-16
Dose 3 — Pfizer-BioNTech
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2021-08-18
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · FeverFree text: Excessive sweatingMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-20
Survey response — days 1–6 daily, dose 3MedDRA: Malaise, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore throat; MalaiseMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-22
- 2021-08-23
- 2021-08-30
- 2021-09-06
- 2021-09-13
- 2021-09-20
- 2021-09-27
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2021-11-15
Survey response — 3 months, dose 3MedDRA: Oligomenorrhoea — Feeling: GoodFree text: Change in menstrual length (an increase in number of days of flow).MedDRA releases: 2024-11 · check-in free text available
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2022-01-17
Dose 4 — Moderna
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2022-01-17
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-01-18
Survey response — days 1–6 daily, dose 4MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2024-11 · check-in free text available
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2022-01-19
Survey response — days 1–6 daily, dose 4MedDRA: Hypoaesthesia, Musculoskeletal stiffness, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Some stiffness, tingling, & numbness in left hand (same side of injection)MedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-01-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-22
- 2022-01-23
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-02-14
- 2022-02-22
- 2022-02-28
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2022-04-18
Survey response — 3 months, dose 4MedDRA: Leukopenia, Pre-existing disease, White blood cell count decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A much lower white blood cell count (leukopenia); was referred to a Hematologist. Is most likely due to my autoimmune conditions and not the vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Dose 5 — Moderna
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2022-05-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-05-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2022-05-21
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-05-22
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-29
- 2022-08-16
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2022-09-14
Dose 6 — Pfizer-BioNTech
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2022-09-14
Health check-in — day 0, dose 6Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2022-09-15
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-16
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-18
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
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2022-10-27
Survey response — day 42, dose 6MedDRA: Condition aggravated, Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Lupus and RA have flared up.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-14
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-07 | Pfizer-BioNTech | |
| 3 | 2021-08-16 | Pfizer-BioNTech | No |
| 4 | 2022-01-17 | Moderna | No |
| 5 | 2022-05-17 | Moderna | No |
| 6 | 2022-09-14 | Pfizer-BioNTech | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): TMJ pain on left side
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): TMJ Pain (Left Side, Mild); Nose Ulcer (Right Nostril)
Systemic reaction (other): Nose Ulcer (Right Nostril)
Systemic reaction (other): These symptoms are most likely due to having a Lupus flare
Systemic reaction (other): Symptoms are most likely due to a Lupus flare-up
Release 4 — day 7, dose 1
Systemic reaction (other): Symptoms most likely due to Lupus flare-up
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Excessive sweating
Systemic reaction (other): Sore throat; Malaise
Systemic reaction (other): Sore throat
Release 10 — 3 months, dose 3
Symptoms: Change in menstrual length (an increase in number of days of flow).
Release 10 — days 1–6 daily, dose 4
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Some stiffness, tingling, & numbness in left hand (same side of injection)
Release 11 — 3 months, dose 4
Symptoms: A much lower white blood cell count (leukopenia); was referred to a Hematologist. Is most likely due to my autoimmune conditions and not the vaccine.
Release 12 — day 42, dose 6
Symptoms: Lupus and RA have flared up.
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 | Condition aggravated | · | · | ✓ |
| SD | Leukopenia | · | · | ✓ |
| SD | Oligomenorrhoea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | White blood cell count decreased | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Malaise | ✓ | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Nasal ulcer | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Pain | ○ | ✓ | ○ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Temporomandibular joint syndrome | ✓ | ✓ | ✓ |
| SRO | Ulcer | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release