ZT5-19608-83477
4 vaccinations
10 coded responses
40 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 946 / CA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-24
Dose 1 — Pfizer-BioNTech
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2021-04-14
Dose 2 — Pfizer-BioNTech
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2021-04-15
Registered in v-safe
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: A little coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Electric shock sensation — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: The joint pain is very unusual - feels like periodic electric shocks in my jaw joint. (not the neck, not the jaw bone, just the joint).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · HeadacheFree text: Had brain fog days 1-4 that I didn't realize until it cleared.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-21
- 2021-04-28
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2021-05-05
Survey response — day 21, dose 2MedDRA: Dizziness, Migraine, Vomiting — Feeling: Good · Be unable to workFree text: Woozy, headache, and vomiting - concluded it was likely a migraine unrelated to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
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2021-05-19
Survey response — day 35, dose 2MedDRA: Migraine, Sinus headache, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Migraine that resulted in 3 hours of vomiting. It didn't feel like a migraine when it came on. Felt like a sinus headache. I do not attribute this to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
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2021-07-14
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Pain in jaw, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Weird jaw pain (mild electric shocks) returned 6/28/21 (first experienced 4/15/21 after 2nd Pfizer shot). Had a head cold (tested negative for COVID-19 twice during it) that lasted 2.5 weeks and started 6/22.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-15
Dose 3 — Pfizer-BioNTech
- 2021-10-15
- 2021-10-16
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-21
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2022-01-14
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2022-04-02
Dose 4 — Moderna
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2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-04-04
- 2022-04-05
- 2022-04-06
- 2022-04-07
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2022-04-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-09
Health check-in — day 7, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-16
Survey response — day 14, dose 4MedDRA: Ear pain, Nasal discomfort, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: head cold - sore throat, burning nose, painful ear (all on one side)MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
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2022-05-07
Survey response — day 35, dose 4MedDRA: Chills, Oropharyngeal pain, Pain, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, sneezing, chills, achesMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Survey response — day 42, dose 4MedDRA: Cough, Nasal discomfort, Nasopharyngitis, Oropharyngeal pain, Vision blurred — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat and other symptoms of a head cold - cough (high, not chest), burning nose, bleary.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-02
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2022-10-01
Survey response — 6 months, dose 4MedDRA: Cystitis noninfective — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Inflammation of bladder - not UTI.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A little coughing.
Systemic reaction (other): The joint pain is very unusual - feels like periodic electric shocks in my jaw joint. (not the neck, not the jaw bone, just the joint).
Systemic reaction (other): Had brain fog days 1-4 that I didn't realize until it cleared.
Release 8 — day 21, dose 2
Symptoms: Woozy, headache, and vomiting - concluded it was likely a migraine unrelated to vaccination.
Release 8 — day 35, dose 2
Symptoms: Migraine that resulted in 3 hours of vomiting. It didn't feel like a migraine when it came on. Felt like a sinus headache. I do not attribute this to the vaccine.
Release 9 — 3 months, dose 2
Symptoms: Weird jaw pain (mild electric shocks) returned 6/28/21 (first experienced 4/15/21 after 2nd Pfizer shot). Had a head cold (tested negative for COVID-19 twice during it) that lasted 2.5 weeks and started 6/22.
Release 11 — day 14, dose 4
Symptoms: head cold - sore throat, burning nose, painful ear (all on one side)
Release 11 — day 35, dose 4
Symptoms: Sore throat, sneezing, chills, aches
Release 11 — day 42, dose 4
Symptoms: Sore throat and other symptoms of a head cold - cough (high, not chest), burning nose, bleary.
Release 12 — 6 months, dose 4
Symptoms: Inflammation of bladder - not UTI.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Cystitis noninfective | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Electric shock sensation | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release