6U9-36090-11749
1 vaccination
5 coded responses
9 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 600 / IL
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-10
Dose 1 — Pfizer-BioNTech
-
2021-05-11
Registered in v-safe
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2021-05-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-13
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Myalgia, Sciatica — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Sciatica aching little headache aching muscles l haveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: Just a little ache in my left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: GoodFree text: Today my pain is very minimal much better than the first few days but every day I suffer with chronic pain so I dont know if the shot had me feeling a bit more achy pain but today I feel OKMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 7, dose 1MedDRA: Fatigue, Pain, Sciatica — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Today just a little tired and a little achy not sure if its due to my normal chronic pain that I have or a combination of the vaccine and my chronic pain sciatica still bothers me a little bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-08-09
- 2021-11-10
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2022-05-12
Survey response — 12 months, dose 1MedDRA: Influenza — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I have fluMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-13
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2022-05-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-10 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Sciatica aching little headache aching muscles l have
Systemic reaction (other): Just a little ache in my left arm
Systemic reaction (other): Today my pain is very minimal much better than the first few days but every day I suffer with chronic pain so I dont know if the shot had me feeling a bit more achy pain but today I feel OK
Release 8 — day 7, dose 1
Systemic reaction (other): Today just a little tired and a little achy not sure if its due to my normal chronic pain that I have or a combination of the vaccine and my chronic pain sciatica still bothers me a little bit
Release 11 — 12 months, dose 1
Symptoms: I have flu
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 | Influenza | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release