Y36-16953-16904
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 933 / CA
- Registered
- 2021-05-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-04-24
Dose 1 — Pfizer-BioNTech
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2021-05-15
Dose 2 — Pfizer-BioNTech
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2021-05-16
Registered in v-safe
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-05-24
Health check-in — day 7, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-29
Survey response — day 14, dose 2MedDRA: Dizziness, Epistaxis, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe headaches, bloody mucus right nostril, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — day 28, dose 2MedDRA: Arthralgia, Energy increased, Eye pain, Fatigue, Headache, Immediate post-injection reaction, Myalgia, Post-acute COVID-19 syndrome, Pre-existing disease, Tinnitus, Vision blurred — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Bad headaches, tinnitus, blurry vision, joint pain, muscle aches,fatigue. Eye pain. I have PASC: Long haul COVID. I feel that immediately after the vaccination I felt a boost of energy and a bit better however now Im relapsing to my prevax self.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Survey response — day 42, dose 2MedDRA: Disturbance in attention, Fatigue, Headache, Myalgia, Nausea, Tinnitus, Vision blurred — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, headaches, muscle aches, tinnitus, nausea, blurry vision, concentration problems. NOTE: I HAVE PASCMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-11-13
Survey response — 6 months, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work or attend schoolFree text: I still have PASC - Post Acute Sequele Covid-19 (Long COVID)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-24 | Pfizer-BioNTech | |
| 2 | 2021-05-15 | Pfizer-BioNTech |
Free text
Release 8 — day 14, dose 2
Symptoms: Severe headaches, bloody mucus right nostril, dizziness
Release 9 — day 28, dose 2
Symptoms: Bad headaches, tinnitus, blurry vision, joint pain, muscle aches,fatigue. Eye pain. I have PASC: Long haul COVID. I feel that immediately after the vaccination I felt a boost of energy and a bit better however now Im relapsing to my prevax self.
Release 9 — day 42, dose 2
Symptoms: Fatigue, headaches, muscle aches, tinnitus, nausea, blurry vision, concentration problems. NOTE: I HAVE PASC
Release 10 — 6 months, dose 2
Symptoms: I still have PASC - Post Acute Sequele Covid-19 (Long 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 | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Energy increased | ✓ | ✓ | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Post-acute COVID-19 syndrome | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release