25M-27501-03859
4 vaccinations
10 coded responses
28 check-ins
9 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 782 / TX
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Registered in v-safe
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: GoodFree text: Various symptoms I am experiencing are chronic from multiple sclerosis and long predate my covid-19 vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
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2021-03-20
Survey response — day 14, dose 1MedDRA: Throat cancer — Feeling: FairFree text: Not COVID19 related. I've been diagnosed with throat cancer.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Pfizer-BioNTech
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I felt feverish but temperature was normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Pain — Feeling: Fair · Site: Pain · DiarrheaFree text: I don't think the diarrhea is related to the vaccine. The mild pain indicated above is just soreness at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have multiple sclerosis & am being treated in hospital for throat cancer so have not been feeling well generally. The only symptom I can relate with surety to the Pfizer vaccine is residual soreness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Chemotherapy, Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: The symptoms listed above are from just having finished chemotherapy in the hospital. The only pain associated with the Pfizer vaccination is some residual soreness at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 7, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: The severe symptoms listed above are after effects of chemotherapy, not the Pfizer vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-16
- 2021-04-24
- 2021-04-30
- 2021-05-07
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2021-06-27
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nothing Covid-19 related. Began chemotherapy for throat cancer 2.5 weeks after 2nd Pfizer shot (4 days after 2-wk immunity period). I am now feeling quite poorly with sore throat & fatigue after having undergone 24 of 33 radiation treatments.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-14
Dose 3 — Pfizer-BioNTech
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2022-04-14
Dose 4 — Moderna
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2022-04-23
Survey response — day 7, dose 4MedDRA: Fatigue, Headache, Pain, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: I did experience headaches, body aches, & fatigue for a few days after receiving vaccine but that was 9 days ago and it passed. I'm feeling usual amount of fatigue today as part of my multiple sclerosis.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-15
- 2022-10-14
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2023-04-14
Survey response — 12 months, dose 4MedDRA: COVID-19, Influenza like illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-14
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-08-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Various symptoms I am experiencing are chronic from multiple sclerosis and long predate my covid-19 vaccination.
Release 6 — day 14, dose 1
Symptoms: Not COVID19 related. I've been diagnosed with throat cancer.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I felt feverish but temperature was normal.
Systemic reaction (other): I don't think the diarrhea is related to the vaccine. The mild pain indicated above is just soreness at the injection site.
Systemic reaction (other): I have multiple sclerosis & am being treated in hospital for throat cancer so have not been feeling well generally. The only symptom I can relate with surety to the Pfizer vaccine is residual soreness at injection site.
Systemic reaction (other): The symptoms listed above are from just having finished chemotherapy in the hospital. The only pain associated with the Pfizer vaccination is some residual soreness at the injection site.
Release 6 — day 7, dose 2
Systemic reaction (other): The severe symptoms listed above are after effects of chemotherapy, not the Pfizer vaccine.
Release 9 — 3 months, dose 2
Symptoms: Nothing Covid-19 related. Began chemotherapy for throat cancer 2.5 weeks after 2nd Pfizer shot (4 days after 2-wk immunity period). I am now feeling quite poorly with sore throat & fatigue after having undergone 24 of 33 radiation treatments.
Release 11 — day 7, dose 4
Systemic reaction (other): I did experience headaches, body aches, & fatigue for a few days after receiving vaccine but that was 9 days ago and it passed. I'm feeling usual amount of fatigue today as part of my multiple sclerosis.
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 | COVID-19 | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Throat cancer | ✓ | ✓ | ✓ |
| SRO | Chemotherapy | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Multiple sclerosis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release