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6W6-19605-75051

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
604 / IL
Registered
2021-07-09
Relationship
Self
Race
N/A
Ethnicity
N/A
Registered dependents
67C-30304-54679 Child or adolescent in my care · Male · 2021-07-09

Timeline

  1. 2021-07-09
    Registered in v-safe
  2. 2021-07-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-07-09
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-07-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Left underarm soreness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-07-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-07-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · Diarrhea, Abdominal pain
    Adult check-in
  8. 2021-07-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-07-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-07-23
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain, Asthma, Chills, Dyspnoea, Fatigue, Pre-existing disease, Rhinorrhoea — Feeling: Good
    Free text: Abdominal pains, fatigue, chills, runny nose, increased asthma symptoms (shortness of breath, rescue inhaler use).
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-07-30
    Dose 2 — Pfizer-BioNTech
  12. 2021-07-30
    Survey response — day 0, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Body itching (torso and legs) 2.5 hours after vaccine.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-07-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal dreams, Insomnia, Night sweats, Pruritus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Itchiness on my torso and legs. Loss of sleep, night sweats, "weird" dreams.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal dreams, Decreased appetite, Sleep disorder — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Lucid dreams, disrupted sleep, low appetite
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-08-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-08-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  17. 2021-08-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-08-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-08-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-20
    Survey response — day 21, dose 2
    MedDRA: Abdominal pain, Chest pain, Dyspnoea, Fatigue — Feeling: Good · Be unable to work or attend school
    Free text: Fatigue, abdominal pain; shortness of breath and chest pains.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-08-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-10
    Survey response — day 42, dose 2
    MedDRA: Decreased appetite, Diarrhoea, Dry skin, Dyspnoea, Eyelid rash, Fatigue, Myalgia, Pain, Rash, Skin discolouration — Feeling: Fair · Be unable to work or attend school
    Free text: Muscle & body pain; fatigue; small, flesh-colored skin bumps on extremities and on eye's water line; dry skin; decreased appetite; diarrhea; shortness of breath
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-07-09Pfizer-BioNTech No
22021-07-30Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-10

Systemic reaction (other): Left underarm soreness

Release 9 — day 14, dose 1

2021-07-23

Symptoms: Abdominal pains, fatigue, chills, runny nose, increased asthma symptoms (shortness of breath, rescue inhaler use).

Release 9 — day 0, dose 2

2021-07-30

Systemic reaction (other): Body itching (torso and legs) 2.5 hours after vaccine.

Release 9 — days 1–6 daily, dose 2

2021-07-31

Systemic reaction (other): Itchiness on my torso and legs. Loss of sleep, night sweats, "weird" dreams.

2021-08-01

Systemic reaction (other): Lucid dreams, disrupted sleep, low appetite

Release 9 — day 21, dose 2

2021-08-20

Symptoms: Fatigue, abdominal pain; shortness of breath and chest pains.

Release 9 — day 42, dose 2

2021-09-10

Symptoms: Muscle & body pain; fatigue; small, flesh-colored skin bumps on extremities and on eye's water line; dry skin; decreased appetite; diarrhea; shortness of breath

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
SDAbdominal pain ✓ · ✓
SDAsthma ✓ · ✓
SDChest pain ✓ · ✓
SDChills ✓ · ✓
SDDecreased appetite · · ✓
SDDiarrhoea · · ✓
SDDry skin · · ✓
SDDyspnoea ✓ · ✓
SDEyelid rash · · ✓
SDFatigue ✓ · ✓
SDMyalgia · · ✓
SDPain · · ✓
SDPre-existing disease ✓ · ✓
SDRash · · ✓
SDRhinorrhoea ✓ · ✓
SDSkin discolouration · · ✓
SROAbnormal dreams ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SRODecreased appetite ✓ · ✓
SROInsomnia ✓ · ✓
SRONight sweats ✓ · ✓
SROPruritus ✓ · ✓
SROSleep disorder ✓ · ✓

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