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Z9W-91017-31978

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
672 / KS
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-18
    Survey response — day 0, dose 1
    MedDRA: Fatigue, Myalgia, Tension — Feeling: Fair
    Free text: Tired, but I was avoiding caffeine. Some muscle ache, but walked in the cold and was tense. These may be from reasons not related to the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good
    Free text: Had a headache last night which I don't normally get, but I felt fine this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Ocular discomfort — Feeling: Good
    Free text: Feel slight pressure around my eyes, like a small headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  8. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Not really abdominal pain, but some tightness in lower abs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle tightness, Myalgia, Ocular discomfort — Feeling: Fair
    Free text: Sore and tight muscles in abs and stomach. Slight pressure around eyes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Pelvic discomfort — Feeling: Good
    Free text: Random moments of tightness in pelvic area and lower abs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort — Feeling: Good
    Free text: Lower tightness, almost like menstrual cramps but not time for that
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-15
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-11
    Dose 3 — Pfizer-BioNTech
  29. 2021-12-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Eye pain, Headache — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: I got the booster yesterday and had a headache with pressure behind my eyes for several hours. It was better when I woke up this morning.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Musculoskeletal stiffness, Ocular discomfort — Feeling: Good
    Free text: Just some slight pressure behind my eyes and some neck stiffness.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-12-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-18
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-12-25
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-01
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-01-08
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-12
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-06-11
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-12-12
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Pfizer-BioNTech
22021-04-08Pfizer-BioNTech
32021-12-11Pfizer-BioNTech No

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): Tired, but I was avoiding caffeine. Some muscle ache, but walked in the cold and was tense. These may be from reasons not related to the shot.

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Dry mouth

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Had a headache last night which I don't normally get, but I felt fine this morning.

2021-03-21

Systemic reaction (other): Feel slight pressure around my eyes, like a small headache.

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Not really abdominal pain, but some tightness in lower abs.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Sore and tight muscles in abs and stomach. Slight pressure around eyes.

2021-04-10

Systemic reaction (other): Random moments of tightness in pelvic area and lower abs

2021-04-11

Systemic reaction (other): Lower tightness, almost like menstrual cramps but not time for that

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): None

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): I got the booster yesterday and had a headache with pressure behind my eyes for several hours. It was better when I woke up this morning.

2021-12-14

Systemic reaction (other): Just some slight pressure behind my eyes and some neck stiffness.

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
SROAbdominal discomfort ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROEye pain · · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMuscle tightness ✓ ✓ ✓
SROMusculoskeletal stiffness · · ✓
SROMyalgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOcular discomfort ✓ ✓ ✓
SROPelvic discomfort ✓ ✓ ✓
SROTension ✓ ✓ ✓

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