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Z9X-63812-11698

4 vaccinations 6 coded responses 29 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
146 / NY
Registered
2021-10-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-07
    Registered in v-safe
  4. 2021-10-07
    Dose 3 — Pfizer-BioNTech
  5. 2021-10-07
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-10-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site bruising, Injection site discolouration, Injection site haemorrhage, Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: The site isn't exactly red; I have a deep purple bruise about 1"x1.5". I bled substantially from the injection - that has never happened before with any injection. It was a very painful injection, too, more so than any other injection I've had.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  9. 2021-10-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  10. 2021-10-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-10-14
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-10-21
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-10-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-01-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-04-05
    Dose 4 — Pfizer-BioNTech
  20. 2022-04-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-04-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Reaction to previous exposure to any vaccine, Tinnitus — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activities
    Free text: Tinnitus, which I also experienced with the previous Covid-19 vaccines and booster
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches
    Free text: Tinnitus since the 2nd booster
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-04-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling
    Free text: Tinnitus since booster, but lessening
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Tinnitus — Feeling: Good
    Free text: Residual tinnitus since booster
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-04-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Muscle or body aches
    Adult check-in
  26. 2022-04-12
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-04-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-04-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-03
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-05-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-05-17
    Survey response — day 42, dose 4
    MedDRA: Pruritus, Sleep disorder — Feeling: Good
    Free text: Nighttime itching (nocturnal pruritis?) that is focus to my chest and intense enough that it disturbs my sleep
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-07-05
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-10-04
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  34. 2023-04-05
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Pfizer-BioNTech No
22021-03-24Pfizer-BioNTech No
32021-10-07Pfizer-BioNTech No
42022-04-05Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-08

Systemic reaction (other): The site isn't exactly red; I have a deep purple bruise about 1"x1.5". I bled substantially from the injection - that has never happened before with any injection. It was a very painful injection, too, more so than any other injection I've had.

Release 11 — days 1–6 daily, dose 4

2022-04-07

Systemic reaction (other): Tinnitus, which I also experienced with the previous Covid-19 vaccines and booster

2022-04-08

Systemic reaction (other): Tinnitus since the 2nd booster

2022-04-09

Systemic reaction (other): Tinnitus since booster, but lessening

2022-04-10

Systemic reaction (other): Residual tinnitus since booster

Release 11 — day 42, dose 4

2022-05-17

Symptoms: Nighttime itching (nocturnal pruritis?) that is focus to my chest and intense enough that it disturbs my sleep

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
SDPruritus · · ✓
SDSleep disorder · · ✓
SROInjection site bruising · · ✓
SROInjection site discolouration · · ✓
SROInjection site haemorrhage · · ✓
SROInjection site pain · · ✓
SROReaction to previous exposure to any vaccine · · ✓
SROTinnitus · · ✓

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