YAL-22813-76762
4 vaccinations
18 coded responses
35 check-ins
17 free-text entries
11 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 606 / IL
- Registered
- 2021-06-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-03
Registered in v-safe
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2021-06-03
Dose 1 — Pfizer-BioNTech
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2021-06-03
Survey response — day 0, dose 1MedDRA: Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Hands, feet, legs, face swelling and blurred visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Survey response — days 1–6 daily, dose 1MedDRA: Eye pain, Medical counselling, Peripheral swelling — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My eyes are extremely heavy, hands and feet are swollen and hurts. Feel like Im being poke with needles all over · Healthcare visit (other): Waiting on call from doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-05
Survey response — days 1–6 daily, dose 1MedDRA: Dysstasia, Muscular weakness, Painful respiration, Vision blurred — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: My legs are weak cant stand for long. My vision is blurry and it hurts to breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-08
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-06-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-06-09
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-10
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-06-18
Survey response — day 14, dose 1MedDRA: Dyspnoea, Feeding disorder, Weight decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My breathing is not right. Feels like my heart is working overtime like a shortness of breath. Its hard to explain. Ive lost 10 pounds since my shot because i cant eat.. Ive been forcing myself some crackers and a bite here and thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — day 14, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-06-23
Call successfulParticipant prefers to complete VAERS report online
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2021-06-24
Dose 2 — Pfizer-BioNTech
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2021-06-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · HeadacheAdult check-in
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2021-06-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-06-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-06-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-06-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-06-29
Survey response — days 1–6 daily, dose 2MedDRA: Choking sensation, Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): It feels like i cant breath like i am being cloaked from the inside of my throat. I can barely move · Healthcare visit (other): My daughter will take me to the Er when she gets off workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
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2021-07-02
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Rash is getting betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Survey response — day 14, dose 2MedDRA: Cardiac flutter, Dyspnoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Shortness of breath like my heart fluttersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — day 14, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-15
Survey response — day 21, dose 2MedDRA: Asthma, Cardiac flutter, Dysstasia, Gait disturbance, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My hands and feet are still swollen making it hard to walk or stand for long. My heart still feels like it flutters and Im having more asthma attacksMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-15
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2021-07-22
Survey response — day 28, dose 2MedDRA: Dizziness, Dyspnoea, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shortness of breath light headed and my body is always tiredMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Dose 3 — Pfizer-BioNTech
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2022-01-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-01-09
Survey response — days 1–6 daily, dose 3MedDRA: Amnesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Memory lossMedDRA releases: 2024-11 · check-in free text available
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2022-01-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitAdult check-in
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2022-01-11
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-12
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2022-01-14
Health check-in — day 7, dose 3Feeling: Fair · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-01-21
Survey response — day 14, dose 3MedDRA: Gait disturbance, Headache, Joint stiffness, Musculoskeletal stiffness, Sleep disorder, Taste disorder, Tinnitus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My joints are stiffing up especially my shoulders and hips. Which is making it hard for me to walk. I have sounds on my ears that makes it hard to sleep. My taste is off and I have headaches dailyMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-24
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2022-01-31
Survey response — day 21, dose 3MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Consistent Joint pain and Muscle ache'sMedDRA releases: 2024-11 · check-in free text available
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2022-02-07
Survey response — day 28, dose 3MedDRA: Headache, Joint stiffness, Mobility decreased, Musculoskeletal stiffness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My muscle and joints are still stiffing up. Making it hard to get around. My headache's are daily.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
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2022-02-14
Survey response — day 35, dose 3MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The pain is becoming unbearable..MedDRA releases: 2024-11 · check-in free text available
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2022-02-23
Survey response — day 42, dose 3MedDRA: Arthralgia, Nodule — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My joints are still hurting and i have random knots on parts of my body.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
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2022-06-12
Dose 4 — Pfizer-BioNTech
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2022-06-23
Health check-in — day 7, dose 4Feeling: Fair · Site: Swelling, Itching · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2022-06-27
- 2022-06-29
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2022-07-20
Survey response — day 35, dose 4MedDRA: Vision blurred, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My eyesight has gotten worse/blurryMedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-21
- 2022-07-21
- 2022-07-21
- 2022-07-21
- 2022-07-21
- 2022-07-21
- 2022-07-21
- 2022-07-21
- 2022-07-28
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2022-12-11
Survey response — 6 months, dose 4MedDRA: Muscle spasms, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Muscle spasms and blurry visionMedDRA releases: 2024-11 · check-in free text available
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2022-12-11
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
- 2022-12-12
- 2022-12-12
- 2022-12-12
- 2022-12-12
- 2022-12-12
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2023-06-12
Survey response — 12 months, dose 4MedDRA: Headache, Limb mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-06-12
Call case (no matching report) — SuccessfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-06-13
Call successfulCompleted over the phone
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2023-06-13
Call successfulCompleted over the phone
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2023-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-06-13
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 | 2021-06-03 | Pfizer-BioNTech | |
| 2 | 2021-06-24 | Pfizer-BioNTech | No |
| 3 | 2022-01-07 | Pfizer-BioNTech | No |
| 4 | 2022-06-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-04 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-08 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-09 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-18 | Successful 2021-06-23 |
Participant prefers to complete VAERS report online |
| 2021-06-29 | Successful 2023-06-13 |
Completed over the phone |
| 2021-07-08 | Successful 2023-06-13 |
Completed over the phone |
| 2022-01-11 | Successful 2023-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-01-21 | Successful 2023-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-20 | Successful 2023-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-11 | Successful 2023-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-06-12 | Successful 2023-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Hands, feet, legs, face swelling and blurred vision
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): My eyes are extremely heavy, hands and feet are swollen and hurts. Feel like Im being poke with needles all over
Healthcare visit (other): Waiting on call from doctor
Systemic reaction (other): My legs are weak cant stand for long. My vision is blurry and it hurts to breath
Release 9 — day 14, dose 1
Symptoms: My breathing is not right. Feels like my heart is working overtime like a shortness of breath. Its hard to explain. Ive lost 10 pounds since my shot because i cant eat.. Ive been forcing myself some crackers and a bite here and there
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): It feels like i cant breath like i am being cloaked from the inside of my throat. I can barely move
Healthcare visit (other): My daughter will take me to the Er when she gets off work
Release 9 — day 7, dose 2
Systemic reaction (other): Rash is getting better
Release 9 — day 14, dose 2
Symptoms: Shortness of breath like my heart flutters
Release 9 — day 21, dose 2
Symptoms: My hands and feet are still swollen making it hard to walk or stand for long. My heart still feels like it flutters and Im having more asthma attacks
Release 9 — day 28, dose 2
Symptoms: Shortness of breath light headed and my body is always tired
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Memory loss
Release 11 — day 14, dose 3
Symptoms: My joints are stiffing up especially my shoulders and hips. Which is making it hard for me to walk. I have sounds on my ears that makes it hard to sleep. My taste is off and I have headaches daily
Release 11 — day 21, dose 3
Symptoms: Consistent Joint pain and Muscle ache's
Release 11 — day 28, dose 3
Symptoms: My muscle and joints are still stiffing up. Making it hard to get around. My headache's are daily.
Release 11 — day 35, dose 3
Symptoms: The pain is becoming unbearable..
Release 11 — day 42, dose 3
Symptoms: My joints are still hurting and i have random knots on parts of my body.
Release 12 — day 35, dose 4
Symptoms: My eyesight has gotten worse/blurry
Release 12 — 6 months, dose 4
Symptoms: Muscle spasms and blurry vision
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dysstasia | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeding disorder | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Limb mass | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Amnesia | · | · | ✓ |
| SRO | Choking sensation | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Dysstasia | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release