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Y29-64066-99019

1 vaccination 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
032 / NH
Registered
2021-04-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-11
    Registered in v-safe
  3. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-25
    Survey response — day 14, dose 1
    MedDRA: Breast pain, Pain — Feeling: Good
    Free text: Painful breasts (not the usual pain that you I get before menstrual cycle). More of a sharp pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-12
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Chest pain — Feeling: Fair
    Free text: Lots of joint pain. I dont think I reported this but after my second vaccine I had 8-12 sharp chest pains that would stop me in my tracks. Havent felt right since and will not get another vaccine. Will follow up with dr on my annual visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-10-09
    Survey response — 6 months, dose 1
    MedDRA: COVID-19, Chest pain, Heart rate irregular, Phantom limb syndrome — Feeling: Poor · Be unable to work or attend school
    Free text: I currently have Covid. Probably the only reason you're contacting me again. And I was told by my pcp that my chest pains were phantom symptoms which is not true. Totally from vaccine after 2nd shot. Still have irregular heartbeat
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-12
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Dizziness

Release 7 — day 14, dose 1

2021-04-25

Symptoms: Painful breasts (not the usual pain that you I get before menstrual cycle). More of a sharp pain.

Release 9 — 3 months, dose 1

2021-07-12

Symptoms: Lots of joint pain. I dont think I reported this but after my second vaccine I had 8-12 sharp chest pains that would stop me in my tracks. Havent felt right since and will not get another vaccine. Will follow up with dr on my annual visit

Release 10 — 6 months, dose 1

2021-10-09

Symptoms: I currently have Covid. Probably the only reason you're contacting me again. And I was told by my pcp that my chest pains were phantom symptoms which is not true. Totally from vaccine after 2nd shot. Still have irregular heartbeat

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
SDArthralgia ✓ ✓ ✓
SDBreast pain ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCOVID-19 · · ✓
SDHeart rate irregular · · ✓
SDPain ✓ ✓ ✓
SDPhantom limb syndrome · · ✓
SRODizziness ✓ ✓ ✓

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