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6JD-29220-54737

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
347 / FL
Registered
2021-08-05
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-08-05
    Registered in v-safe
  3. 2021-08-05
    Dose 2 — Pfizer-BioNTech
    Co-administered: Do not remember
  4. 2021-08-05
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Back pain, Myalgia, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Shoulder pain into back and tingling down arm to fingers pain to lift arm over my head. Some sharp muscle pain in forearm.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-08-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No appetite
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling hot, Swelling — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Very very warm and a little swollen
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site induration, Injection site swelling — Feeling: Good · Site: Pain
    Free text: Still slight swelling at the site of injection. Feels slightly hard or firm
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site induration, Injection site warmth — Feeling: Fair · Muscle or body aches
    Free text: Yes I still have a firm spot at my injection site. And it is still very warm. It does concern me. If it has not gotten better by tomorrow I'll be going to urgent care
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-08-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-08-19
    Survey response — day 14, dose 2
    MedDRA: Decreased appetite — Feeling: Good
    Free text: I had a loss of appetite. I have to force myself to eat. I usually eat a healthy diet and I eat a bit because I'm very active. But I have no desire to eat. Nothing appeals to me. I found it odd
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-08-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-02
    Survey response — day 28, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Just developed a cough
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-09-09
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-11-04
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-02-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-08-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-14Pfizer-BioNTech No
22021-08-05Pfizer-BioNTech Do not remember

Free text

Release 9 — day 0, dose 2

2021-08-05

Systemic reaction (other): Shoulder pain into back and tingling down arm to fingers pain to lift arm over my head. Some sharp muscle pain in forearm.

Release 9 — days 1–6 daily, dose 2

2021-08-06

Systemic reaction (other): No appetite

2021-08-08

Systemic reaction (other): Very very warm and a little swollen

2021-08-09

Systemic reaction (other): Still slight swelling at the site of injection. Feels slightly hard or firm

2021-08-10

Systemic reaction (other): Yes I still have a firm spot at my injection site. And it is still very warm. It does concern me. If it has not gotten better by tomorrow I'll be going to urgent care

Release 9 — day 14, dose 2

2021-08-19

Symptoms: I had a loss of appetite. I have to force myself to eat. I usually eat a healthy diet and I eat a bit because I'm very active. But I have no desire to eat. Nothing appeals to me. I found it odd

Release 9 — day 28, dose 2

2021-09-02

Symptoms: Just developed a cough

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
SDCough ✓ · ✓
SDDecreased appetite ✓ · ✓
SROArthralgia ✓ · ✓
SROBack pain ✓ · ✓
SRODecreased appetite ✓ · ✓
SROFeeling hot ✓ · ✓
SROInjection site induration ✓ · ✓
SROInjection site swelling ✓ · ✓
SROInjection site warmth ✓ · ✓
SROMyalgia ✓ · ✓
SROPain ✓ · ✓
SROPain in extremity ✓ · ✓
SROParaesthesia ✓ · ✓
SROSwelling ✓ · ✓

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