Z79-16885-11660
3 vaccinations
13 coded responses
36 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 922 / CA
- Registered
- 2021-09-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-29
Dose 1 — Pfizer-BioNTech
-
2021-09-30
Registered in v-safe
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-13
- 2021-10-20
-
2021-10-21
Dose 2 — Pfizer-BioNTech
-
2021-10-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Feel the need to cough when I take a deep breath.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore lymph nods under arm that received shot. Not coughing like yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Sore in lymph node area of arm that rec'd injection.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Still some mild pain in lymph nodes.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Still sore in lymph nodes.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Still tender in lymph nodes.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2022-01-20
- 2022-04-21
-
2022-05-18
Dose 3 — Pfizer-BioNTech
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2022-05-19
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Respiratory disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough when I try to take a deep breath.MedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dry throat, Dyspnoea, Throat clearing — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Very dry in throat yesterday and today. Can take a deep breath. today but still have a slight cough/clearing of throat.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dry throat — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Still coughing at times and dry in throat.MedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: On inhaler as still hard to take a deep breath.MedDRA releases: 2024-11 · check-in free text available
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2022-05-23
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Cough — Feeling: Fair · Muscle or body achesFree text: Still tightness in chest with some coughing.MedDRA releases: 2024-11 · check-in free text available
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2022-05-24
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Cough — Feeling: FairFree text: Tight in chest/coughingMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Survey response — day 7, dose 3MedDRA: Chest discomfort, Cough — Feeling: FairFree text: Using inhaler. to relieve tightness in chest and help with cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-08-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-29 | Pfizer-BioNTech | No |
| 2 | 2021-10-21 | Pfizer-BioNTech | No |
| 3 | 2022-05-18 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Feel the need to cough when I take a deep breath.
Systemic reaction (other): Sore lymph nods under arm that received shot. Not coughing like yesterday.
Systemic reaction (other): Sore in lymph node area of arm that rec'd injection.
Systemic reaction (other): Still some mild pain in lymph nodes.
Systemic reaction (other): Still sore in lymph nodes.
Systemic reaction (other): Still tender in lymph nodes.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Cough when I try to take a deep breath.
Systemic reaction (other): Very dry in throat yesterday and today. Can take a deep breath. today but still have a slight cough/clearing of throat.
Systemic reaction (other): Still coughing at times and dry in throat.
Systemic reaction (other): On inhaler as still hard to take a deep breath.
Systemic reaction (other): Still tightness in chest with some coughing.
Systemic reaction (other): Tight in chest/coughing
Release 11 — day 7, dose 3
Systemic reaction (other): Using inhaler. to relieve tightness in chest and help with cough.
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 |
|---|---|---|---|---|
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dry throat | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Respiratory disorder | · | · | ✓ |
| SRO | Throat clearing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release