6V9-33719-78636
4 vaccinations
8 coded responses
14 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 474 / IN
- Registered
- 2022-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4K9-63178-94069
Child or adolescent in my care · Male · 2022-01-15
Timeline
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2021-03-27
Dose 1 — Pfizer-BioNTech
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2021-04-17
Dose 2 — Pfizer-BioNTech
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2021-12-31
Dose 3 — Moderna
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2022-01-02
Registered in v-safe
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2022-01-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-01-04
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Mechanical urticaria, Synovial cyst — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Increased dermatographia, and pain in ganglion cyst on wristMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Dizziness, Heart rate increased, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Dermatographia is aggravated, dysautonomia also aggravated causing dizziness and high heart rate upon standing. This has been fine for months and returned just after booster.MedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — day 7, dose 3MedDRA: Mechanical urticaria — Feeling: Fair · Fatigue or tirednessFree text: Dermatographia still worsenedMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
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2022-01-21
Survey response — day 21, dose 3MedDRA: Arthralgia, Pyrexia, Synovial cyst — Feeling: FairFree text: Pain in wrist ganglion cyst. It had been pain free for a month. The pain started again when I had a fever after the booster. Now it increases daily.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — day 28, dose 3MedDRA: Arthralgia, Fatigue, Synovial cyst — Feeling: FairFree text: Pain in my wrist (where I have a ganglion cyst). Fatigue continues.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
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2022-04-01
Survey response — 3 months, dose 3MedDRA: Cough, Hypersensitivity, Nasal congestion, Pre-existing disease — Feeling: GoodFree text: Increased allergy symptoms. Typical of spring. Cough, stuffy nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
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2022-12-31
Survey response — 12 months, dose 3MedDRA: COVID-19, Influenza, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold, influenza A, CovidMedDRA releases: 2024-11 · check-in free text available
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2023-02-15
Dose 4 — Pfizer-BioNTech
- 2023-03-22
- 2023-03-29
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | No |
| 2 | 2021-04-17 | Pfizer-BioNTech | No |
| 3 | 2021-12-31 | Moderna | No |
| 4 | 2023-02-15 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Increased dermatographia, and pain in ganglion cyst on wrist
Systemic reaction (other): Dermatographia is aggravated, dysautonomia also aggravated causing dizziness and high heart rate upon standing. This has been fine for months and returned just after booster.
Release 10 — day 7, dose 3
Systemic reaction (other): Dermatographia still worsened
Release 11 — day 21, dose 3
Symptoms: Pain in wrist ganglion cyst. It had been pain free for a month. The pain started again when I had a fever after the booster. Now it increases daily.
Release 11 — day 28, dose 3
Symptoms: Pain in my wrist (where I have a ganglion cyst). Fatigue continues.
Release 11 — 3 months, dose 3
Symptoms: Increased allergy symptoms. Typical of spring. Cough, stuffy nose.
Release 12 — 12 months, dose 3
Symptoms: Cold, influenza A, Covid
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 | Arthralgia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Synovial cyst | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Mechanical urticaria | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Synovial cyst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release