6QM-95423-49014
3 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 534 / WI
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Pfizer-BioNTech
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2021-03-25
Dose 2 — Pfizer-BioNTech
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2021-03-26
Registered in v-safe
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Numbness and tingling in lower face/chin and left arm down to hand and fingers. This was not same arm as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Injection site pain — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Bruising at injections site and pain with touching but not pain otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-31
- 2021-04-01
- 2021-04-10
- 2021-04-15
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2021-04-22
Survey response — day 28, dose 2MedDRA: Pain — Feeling: GoodFree text: Now that its happened a few times since the last dose, Ive been having weird shooting pain around the injection site up into my shoulder but its on the arm that I received my first vaccine in not the 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
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2021-06-24
Survey response — 3 months, dose 2MedDRA: Myalgia, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore muscles, ringing in ear, and can hear my heart beat in my ear when Im laying down. Not sure of causeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-09-28
Dose 3 — Pfizer-BioNTech
- 2021-09-29
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2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Back painMedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
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2021-10-12
Survey response — day 14, dose 3MedDRA: Gastrointestinal disorder — Feeling: FairFree text: GI symptoms for almost a week.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
- 2021-10-28
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2022-03-31
Survey response — 6 months, dose 3MedDRA: Arrhythmia, Chest pain, Pulse abnormal, Tachycardia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Runs of tachycardia, bounding pulse, irregular rhythm and intermittent chest pain with no known originMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness and tingling in lower face/chin and left arm down to hand and fingers. This was not same arm as injection
Systemic reaction (other): Bruising at injections site and pain with touching but not pain otherwise
Release 7 — day 28, dose 2
Symptoms: Now that its happened a few times since the last dose, Ive been having weird shooting pain around the injection site up into my shoulder but its on the arm that I received my first vaccine in not the 2nd dose.
Release 9 — 3 months, dose 2
Symptoms: Sore muscles, ringing in ear, and can hear my heart beat in my ear when Im laying down. Not sure of cause
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Back pain
Release 10 — day 14, dose 3
Symptoms: GI symptoms for almost a week.
Release 11 — 6 months, dose 3
Symptoms: Runs of tachycardia, bounding pulse, irregular rhythm and intermittent chest pain with no known origin
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 | Arrhythmia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pulse abnormal | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release