ZJ6-16366-97393
4 vaccinations
14 coded responses
42 check-ins
14 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 919 / CA
- Registered
- 2021-05-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-20
Dose 1 — Pfizer-BioNTech
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2021-05-14
Registered in v-safe
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2021-05-14
Dose 2 — Pfizer-BioNTech
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2021-05-14
Survey response — day 0, dose 2MedDRA: Chest discomfort, Cough, Pruritus, Throat tightness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Itchy face, tightness in base of throat and chest, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Pain in extremity, Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sharp quick needle-like pain in stomach and feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-28
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2021-06-04
Survey response — day 21, dose 2MedDRA: Tenderness — Feeling: GoodFree text: Tenderness in front/left side of throat for a couple days (May not have anything to do with vaccine, of course)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-08-13
- 2021-11-13
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2021-12-16
Dose 3 — Pfizer-BioNTech
- 2021-12-16
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2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Increased heart rateMedDRA releases: 2024-11 · check-in free text available
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2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Skin disorder — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: A couple Blemishes on face - unusual for me. There yesterday but forgot to report.MedDRA releases: 2024-11 · check-in free text available
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2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain — Feeling: GoodFree text: Sharp pains in breast - side of vaccineMedDRA releases: 2024-11 · check-in free text available
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2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Acid reflux - very abnormal for meMedDRA releases: 2024-11 · check-in free text available
- 2021-12-21
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2021-12-23
Survey response — day 7, dose 3MedDRA: Gastrooesophageal reflux disease, Pain — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Acid reflux, a few quick sharp painsMedDRA releases: 2024-11 · check-in free text available
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2021-12-30
Survey response — day 14, dose 3MedDRA: Cardiac flutter — Feeling: GoodFree text: Heart fluttersMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Survey response — day 21, dose 3MedDRA: Headache, Myalgia, Respiratory tract congestion — Feeling: FairFree text: Headaches, congestion, muscle achesMedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Survey response — day 28, dose 3MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Survey response — day 35, dose 3MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
- 2022-03-17
- 2022-06-16
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2022-10-28
Dose 4 — Pfizer-BioNTech
- 2022-10-28
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2022-10-29
Survey response — days 1–6 daily, dose 4MedDRA: Angina pectoris — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sharp pain in heart - with each beatMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
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2022-10-31
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-01
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2022-11-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
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2022-12-09
Survey response — day 42, dose 4MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache/migraineMedDRA releases: 2024-11 · check-in free text available
- 2023-01-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Pfizer-BioNTech | |
| 2 | 2021-05-14 | Pfizer-BioNTech | |
| 3 | 2021-12-16 | Pfizer-BioNTech | No |
| 4 | 2022-10-28 | Pfizer-BioNTech | No |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Itchy face, tightness in base of throat and chest, cough
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sharp quick needle-like pain in stomach and feet
Release 8 — day 21, dose 2
Symptoms: Tenderness in front/left side of throat for a couple days (May not have anything to do with vaccine, of course)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Increased heart rate
Systemic reaction (other): A couple Blemishes on face - unusual for me. There yesterday but forgot to report.
Systemic reaction (other): Sharp pains in breast - side of vaccine
Systemic reaction (other): Acid reflux - very abnormal for me
Release 10 — day 7, dose 3
Systemic reaction (other): Acid reflux, a few quick sharp pains
Release 10 — day 14, dose 3
Symptoms: Heart flutters
Release 10 — day 21, dose 3
Symptoms: Headaches, congestion, muscle aches
Release 10 — day 28, dose 3
Symptoms: Headaches
Release 10 — day 35, dose 3
Symptoms: Headaches
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sharp pain in heart - with each beat
Release 12 — day 42, dose 4
Symptoms: Headache/migraine
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 |
|---|---|---|---|---|
| SD | Cardiac flutter | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Angina pectoris | · | · | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin disorder | · | · | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release