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YW6-26722-34460

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
440 / OH
Registered
2021-05-18
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-18
    Registered in v-safe
  2. 2021-05-19
    Dose 1 — Pfizer-BioNTech
  3. 2021-05-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-05-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chest pain, Pain in extremity — Feeling: Poor · Site: Pain · Muscle or body aches
    Free text: Had chest pains seem to be getting better. Pains down back arms and shoulders. Seems to be getting better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Getting better. Just every so often. Body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Diarrhea
    Free text: The was on my right side. Shoulder and side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-06-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-06-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-06-17
    Dose 2 — Pfizer-BioNTech
  13. 2021-06-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-06-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-06-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-24
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-08
    Survey response — day 21, dose 2
    MedDRA: Depression, Pain in extremity, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Just feeling signs of depression on so many rainy days. People needing my help too often. When I'm not able to help myself. Nothing to do with shot. My arm does itch on occasions.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-29
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headaches. Not used to having Headaches.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-09-18
    Survey response — 3 months, dose 2
    MedDRA: Amnesia, Arthralgia, Chest pain, Memory impairment, Neck pain, Pain — Feeling: Good
    Free text: Chest pains that come and go. Memory loss. Locking my keys in the house once and car twice. Terrible Pain in my right shoulder. It went away but i can still feel it slightly. Pain in my neck on the left when i turn. Forgot I left my friend outside.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-06-17
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Dysgeusia, Parosmia — Feeling: Fair
    Free text: Things smell like old wet dog. They say it's my imagination. From COVID. Have to light incense. Spray air freshener. I would sit outside have to come in. It's gotten better. Put bleach in dishwasher. Lemons and can't drink orange juice taste like it
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-19Pfizer-BioNTech
22021-06-17Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-21

Systemic reaction (other): Had chest pains seem to be getting better. Pains down back arms and shoulders. Seems to be getting better.

2021-05-22

Systemic reaction (other): Getting better. Just every so often. Body aches

2021-05-23

Systemic reaction (other): The was on my right side. Shoulder and side.

Release 9 — days 1–6 daily, dose 2

2021-06-23

Systemic reaction (other): No

Release 9 — day 7, dose 2

2021-06-24

Systemic reaction (other): No

Release 9 — day 21, dose 2

2021-07-08

Symptoms: Just feeling signs of depression on so many rainy days. People needing my help too often. When I'm not able to help myself. Nothing to do with shot. My arm does itch on occasions.

Release 9 — day 42, dose 2

2021-07-29

Symptoms: Headaches. Not used to having Headaches.

Release 9 — 3 months, dose 2

2021-09-18

Symptoms: Chest pains that come and go. Memory loss. Locking my keys in the house once and car twice. Terrible Pain in my right shoulder. It went away but i can still feel it slightly. Pain in my neck on the left when i turn. Forgot I left my friend outside. cut off by CDC

Release 12 — 12 months, dose 2

2022-06-17

Symptoms: Things smell like old wet dog. They say it's my imagination. From COVID. Have to light incense. Spray air freshener. I would sit outside have to come in. It's gotten better. Put bleach in dishwasher. Lemons and can't drink orange juice taste like it cut off by CDC

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
SDAmnesia · · ✓
SDArthralgia · · ✓
SDChest pain · · ✓
SDCOVID-19 · · ✓
SDDepression ✓ ✓ ✓
SDDysgeusia · · ✓
SDHeadache ✓ · ✓
SDMemory impairment · · ✓
SDNeck pain · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDParosmia · · ✓
SDPruritus ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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