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6VH-30386-92363

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
958 / CA
Registered
2021-03-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Abdominal pain
    Free text: Slight Shortness of breath in the early morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity, Respiratory tract congestion, Sinus disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: A little congestion but could be allergies or sinus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache
    Free text: Tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Little Swelling and pain in the arm pit of the arm where i got the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches
    Free text: Underarm pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-22
    Survey response — day 14, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Alergies symptoms that I usually do not have such as sneezing, stuffy nose, itchy throat. I had to go to doctors office for relief. Also, underarm swelling was noticed 2 days after vaccine went down 3 days after seeing my doctor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-29
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-08
    Survey response — day 28, dose 2
    MedDRA: Back pain — Feeling: Fair
    Free text: Back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-20
    Survey response — day 42, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Pain in my left arm. I got the shot in my right arm. I am not sure if the pain is from the shot or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Pfizer-BioNTech
22021-04-08Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Slight Shortness of breath in the early morning

2021-03-20

Systemic reaction (other): A little congestion but could be allergies or sinus

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Tiredness

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Little Swelling and pain in the arm pit of the arm where i got the vaccine.

2021-04-13

Systemic reaction (other): Underarm pain

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Alergies symptoms that I usually do not have such as sneezing, stuffy nose, itchy throat. I had to go to doctors office for relief. Also, underarm swelling was noticed 2 days after vaccine went down 3 days after seeing my doctor.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Headaches

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Back pain

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Pain in my left arm. I got the shot in my right arm. I am not sure if the pain is from the shot or not.

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
SDBack pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ○
SROOedema peripheral ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSinus disorder ✓ ✓ ○

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