6RM-16371-52397
5 vaccinations
38 coded responses
50 check-ins
38 free-text entries
14 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 477 / IN
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Pfizer-BioNTech
- 2020-12-30
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Anosmia, Decreased appetite, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness no appetite or sense of smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-02
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dizziness loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-06
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Survey response — day 14, dose 1MedDRA: Dizziness, Fatigue, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Low grade temperature 99.8F and dizziness still very tired with headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-21
Survey response — day 21, dose 1MedDRA: Body temperature increased, Dizziness, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued low grade temperature of 99.6F. Fatigue headache and dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Dose 2 — Pfizer-BioNTech
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2021-01-22
Survey response — day 0, dose 2MedDRA: Anosmia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Have lost all sense of smell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Anosmia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Total loss of smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness and confusionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Confusional state, Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Confusion and dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush, Hyperhidrosis — Feeling: Fair · Fever · Joint pains, Muscle or body achesFree text: Hot flashes with diaphoresisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-29
Survey response — day 7, dose 2MedDRA: Confusional state, Memory impairment, Oropharyngeal pain, Urinary incontinence — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Confusion forgetfulness sore throat urinary incontinence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 2MedDRA: Anosmia, Body temperature increased, Chills, Dizziness, Fatigue, Hyperhidrosis, Migraine, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness lightheaded loss of smell. Temperature of 100.4F tiredness body aches and hot sweat to cold chills migraine headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-19
Survey response — day 28, dose 2MedDRA: Ageusia, Anosmia, Facial pain, Headache, Hypoaesthesia, Migraine, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Complete loss of smell and taste. Body aches entire left side of body pain and facial pain and numbness required injections by MD today. Migraine headache required injection this week. Continued low grade temperature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — day 35, dose 2MedDRA: Arthralgia, Migraine, Office visit, Temporomandibular joint syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: TMJ migraine and joint pain · Healthcare visit (other): Injections at both separate visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-05
Survey response — day 42, dose 2MedDRA: Dizziness, Migraine, Neck pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Migraines dizziness neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-23
Survey response — 3 months, dose 2MedDRA: Ageusia, Anosmia, Arthralgia, Back pain, Body temperature decreased, Bone pain, Dizziness, Flank pain, Headache, Neck pain, Pain in extremity, Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Left side pain from head and neck down shoulder back and arm. Side of both injections. Sciatica and bone spur like pain on opposite side. Continued loss of smell and taste since first injection. Intermittent low grade temperature. Persistent dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
- 2021-05-31
- 2021-05-31
- 2021-05-31
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2021-07-23
Survey response — 6 months, dose 2MedDRA: Arthralgia, Migraine, Neck pain, Pain in extremity, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Worsening of migraine headaches to diagnosis of cluster migraines. Pain in left hand arm shoulder and neck daily. Continued loss of smell and taste.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
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2021-10-02
Dose 3 — Pfizer-BioNTech
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus, Vision blurred — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Itching blurry visionMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of taste and smellMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Ageusia, Anosmia, Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness loss of taste and smellMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Call successfulParticipant prefers to complete VAERS report online
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Ageusia, Anosmia, Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Loss of taste and smell. DizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Survey response — day 7, dose 3MedDRA: Ageusia, Anosmia, Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Loss of taste and smell DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
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2021-10-23
Survey response — day 21, dose 3MedDRA: Ageusia, Anosmia, Dizziness, Lethargy, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Unable to smell or taste. Dizziness. Nausea. Lethargy.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — day 28, dose 3MedDRA: Lethargy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: LethargyMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — day 35, dose 3MedDRA: Arthralgia, Dizziness, Headache, Lethargy, Neck pain, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Arm head neck shoulder pain. Lethargy. Dizziness. Scheduled for surgery after MRI.MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-09
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-13
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2022-01-02
Survey response — 3 months, dose 3MedDRA: Arthralgia, Dizziness, Fall, Neck pain, Pain in extremity — Feeling: Poor · Be unable to work or attend schoolFree text: Increased neck shoulder arm pain. Dizziness and fallingMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Survey response — 6 months, dose 3MedDRA: Chest pain, Headache, Neck pain, Neurosurgery, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Return of left arm neck head and thoracic pain after neurosurgery 11/23/2022.MedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-05
- 2022-04-07
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2022-04-07
Callback requested for03:15PM ET
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2022-08-19
Dose 4 — Pfizer-BioNTech
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2022-08-19
Survey response — day 0, dose 4MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising to left upper arm injection site.MedDRA releases: 2024-11 · check-in free text available
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2022-08-20
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bruising at site.MedDRA releases: 2024-11 · check-in free text available
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2022-08-21
Survey response — days 1–6 daily, dose 4MedDRA: Contusion, Migraine — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe bruising and migraineMedDRA releases: 2024-11 · check-in free text available
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2022-08-22
Survey response — days 1–6 daily, dose 4MedDRA: Contusion — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: BruisingMedDRA releases: 2024-11 · check-in free text available
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2022-08-22
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-23
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2022-08-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-08-25
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
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2022-08-30
Survey response — day 7, dose 4MedDRA: Injection site bruising — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Bruising at siteMedDRA releases: 2024-11 · check-in free text available
- 2022-09-02
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2022-09-09
Survey response — day 21, dose 4MedDRA: Back pain, Flank pain, Insomnia — Feeling: FairFree text: Back pain. Right sided pain. Insomnia.MedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Survey response — day 28, dose 4MedDRA: Facial pain, Neck pain, Pain in jaw — Feeling: FairFree text: Left side facial and jaw neck pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
- 2022-09-30
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2022-11-18
Survey response — 3 months, dose 4MedDRA: Flank pain, Migraine, Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left sided pain from migraine to sciatic painMedDRA releases: 2024-11 · check-in free text available
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2022-11-22
Dose 5 — Pfizer-BioNTechCo-administered: Pneumonia
- 2023-02-17
- 2023-05-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
| 4 | 2022-08-19 | Pfizer-BioNTech | No |
| 5 | 2022-11-22 | Pfizer-BioNTech | Pneumonia |
Call center
14 call center cases
7 successful · 2 unsuccessful · 5 priority 2/3 (triaged and no follow up)
2 waits over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness no appetite or sense of smell
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness loss of appetite
Release 1 — day 7, dose 1
Systemic reaction (other): Dizziness
Release 1 — day 14, dose 1
Symptoms: Low grade temperature 99.8F and dizziness still very tired with headaches.
Release 2 — day 21, dose 1
Symptoms: Continued low grade temperature of 99.6F. Fatigue headache and dizziness.
Release 2 — day 0, dose 2
Systemic reaction (other): Have lost all sense of smell.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Total loss of smell
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness and confusion
Systemic reaction (other): Confusion and dizziness.
Systemic reaction (other): Hot flashes with diaphoresis
Release 3 — day 7, dose 2
Systemic reaction (other): Confusion forgetfulness sore throat urinary incontinence.
Release 3 — day 14, dose 2
Symptoms: Dizziness lightheaded loss of smell. Temperature of 100.4F tiredness body aches and hot sweat to cold chills migraine headache
Release 4 — day 28, dose 2
Symptoms: Complete loss of smell and taste. Body aches entire left side of body pain and facial pain and numbness required injections by MD today. Migraine headache required injection this week. Continued low grade temperature.
Release 4 — day 35, dose 2
Symptoms: TMJ migraine and joint pain
Healthcare visit (other): Injections at both separate visits
Release 5 — day 42, dose 2
Symptoms: Migraines dizziness neck pain
Release 7 — 3 months, dose 2
Symptoms: Left side pain from head and neck down shoulder back and arm. Side of both injections. Sciatica and bone spur like pain on opposite side. Continued loss of smell and taste since first injection. Intermittent low grade temperature. Persistent dizzy. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Worsening of migraine headaches to diagnosis of cluster migraines. Pain in left hand arm shoulder and neck daily. Continued loss of smell and taste.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Itching blurry vision
Systemic reaction (other): Loss of taste and smell
Systemic reaction (other): Dizziness loss of taste and smell
Systemic reaction (other): Loss of taste and smell. Dizziness
Release 10 — day 7, dose 3
Systemic reaction (other): Loss of taste and smell Dizziness
Release 10 — day 21, dose 3
Symptoms: Unable to smell or taste. Dizziness. Nausea. Lethargy.
Release 10 — day 28, dose 3
Symptoms: Lethargy
Release 10 — day 35, dose 3
Symptoms: Arm head neck shoulder pain. Lethargy. Dizziness. Scheduled for surgery after MRI.
Release 10 — 3 months, dose 3
Symptoms: Increased neck shoulder arm pain. Dizziness and falling
Release 11 — 6 months, dose 3
Symptoms: Return of left arm neck head and thoracic pain after neurosurgery 11/23/2022.
Release 12 — day 0, dose 4
Systemic reaction (other): Bruising to left upper arm injection site.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Bruising at site.
Systemic reaction (other): Severe bruising and migraine
Systemic reaction (other): Bruising
Systemic reaction (other): Insomnia
Release 12 — day 7, dose 4
Systemic reaction (other): Bruising at site
Release 12 — day 21, dose 4
Symptoms: Back pain. Right sided pain. Insomnia.
Release 12 — day 28, dose 4
Symptoms: Left side facial and jaw neck pain.
Release 12 — 3 months, dose 4
Symptoms: Left sided pain from migraine to sciatic pain
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Body temperature decreased | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Neurosurgery | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Temporomandibular joint syndrome | ✓ | ✓ | ✓ |
| SRO | Ageusia | · | · | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Urinary incontinence | ✓ | ✓ | ✓ |
| SRO | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release