R9T-11265-69318
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 441 / OH
- Registered
- 2021-09-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-09-15
Dose 1 — Pfizer-BioNTech
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2021-09-16
Registered in v-safe
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2021-09-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-09-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-09-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-09-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-09-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-21
Survey response — days 1–6 daily, dose 1MedDRA: Joint range of motion decreased, Lymph node pain, Lymphadenitis — Feeling: Poor · Headache, Fatigue or tirednessFree text: Severe pain, and ROM issues related to the inflammation the lymph nodes of my neck/shoulder on my left side (injection site in left arm)MedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — day 7, dose 1MedDRA: Induration, Joint range of motion decreased, Neck mass, Pain — Feeling: Good · Fatigue or tirednessFree text: The hard lump under my collar bone has become mobile and now move from below to on top of my collar bone. Dont know if its a cyst or inflammed lymph node. Causing less pain than yesterday and ROM better today.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
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2021-10-06
Dose 2 — Pfizer-BioNTech
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2021-10-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend schoolAdult check-in
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2021-10-09
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-12
- 2021-10-15
- 2021-10-22
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2022-01-05
- 2022-04-08
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2022-10-06
Survey response — 12 months, dose 2MedDRA: Hypersomnia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed with Idiopathic Hypersomnia · Healthcare visit (other): Sleep Testing in hospitalMedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-07
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 | 2021-09-15 | Pfizer-BioNTech | No |
| 2 | 2021-10-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Severe pain, and ROM issues related to the inflammation the lymph nodes of my neck/shoulder on my left side (injection site in left arm)
Release 9 — day 7, dose 1
Systemic reaction (other): The hard lump under my collar bone has become mobile and now move from below to on top of my collar bone. Dont know if its a cyst or inflammed lymph node. Causing less pain than yesterday and ROM better today.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Diarrhea
Release 12 — 12 months, dose 2
Symptoms: Diagnosed with Idiopathic Hypersomnia
Healthcare visit (other): Sleep Testing in hospital
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 | Unevaluable event | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Joint range of motion decreased | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenitis | · | · | ✓ |
| SRO | Neck mass | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release