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YR5-43604-74149

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
313 / GA
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Erythema, Periorbital swelling — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Diarrhea
    Free text: Underneath both eyes are puffy and reddened
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Lymphadenitis — Feeling: Good · Site: Pain
    Free text: Left earache. Pre auricular lymphadenitis.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Pain — Feeling: Good
    Free text: Left earache. Radiates into neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  7. 2021-01-25
    Survey response — day 14, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Sore calves.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-02
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Emergency care, Eye swelling, Hypersensitivity, Paraesthesia oral, Pharyngeal swelling — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Had allergic reaction 10 minutes after the shot. Swelling around eyes. Left preauricular swelling and pain. Lips tingling and a little swollen Throat minimally uncomfortable. Went to (b)(6) emergency room.IV Decadron, Pepcid, and IV Benadryl. Put on Pepcid, Claritin and Prednisone for five days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-09
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-02
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Pre-existing disease — Feeling: Fair
    Free text: More fatigue than previously. Had some fatigue , but now I wear out about 8 PM.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-04
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Pain in extremity — Feeling: Good
    Free text: Sore legs and sore back. May be unrelated to shots.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-08-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Pfizer-BioNTech
22021-02-02Pfizer-BioNTech

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Underneath both eyes are puffy and reddened

2021-01-16

Systemic reaction (other): Left earache. Pre auricular lymphadenitis.

2021-01-17

Systemic reaction (other): Left earache. Radiates into neck.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Sore calves.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Had allergic reaction 10 minutes after the shot. Swelling around eyes. Left preauricular swelling and pain. Lips tingling and a little swollen Throat minimally uncomfortable. Went to (b)(6) emergency room.IV Decadron, Pepcid, and IV Benadryl. Put on Pepcid, Claritin and Prednisone for five days.
redacted (b)(6)

Release 4 — day 28, dose 2

2021-03-02

Symptoms: More fatigue than previously. Had some fatigue , but now I wear out about 8 PM.

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Sore legs and sore back. May be unrelated to shots.

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
SDBack pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROEye swelling ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROLymphadenitis ✓ ✓ ✓
SROLymphadenopathy ○ ○ ○
SROPain ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPeriorbital swelling ✓ ✓ ✓
SROPharyngeal swelling ✓ ✓ ✓

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