28M-19342-84396
5 vaccinations
12 coded responses
58 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-23
Dose 1 — Pfizer-BioNTech
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: just a little sore at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Aura — Feeling: GoodFree text: Seeing aura lights every few hours without the migraine. I haven't had a migraine with aura for a few years, seems strange.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — day 7, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-06
-
2021-04-13
Dose 2 — Pfizer-BioNTech
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: FairFree text: brain feels foggy or disjointedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Disturbance in attention — Feeling: FairFree text: Brain fog. focus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention, Feeling abnormal — Feeling: FairFree text: brain fog. focus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2021-10-15
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-17
-
2021-10-18
Survey response — days 1–6 daily, dose 3MedDRA: Blister, Oral herpes — Feeling: Good · Fatigue or tirednessFree text: cold sore blister.MedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: GoodFree text: cold soreMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-10-21
- 2021-10-22
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2021-10-29
Survey response — day 14, dose 3MedDRA: Arthralgia — Feeling: FairFree text: Strong joint pain in the shoulder of the arm that received the vaccine. Might be arthritis.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-13
- 2021-11-19
- 2021-11-26
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2022-01-14
Survey response — 3 months, dose 3MedDRA: Asthenia, Cough, Diarrhoea, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Symptoms started on evening of 12/26/2022. Each day for a week had different symptoms. Fever, sore throat, nasal congestion, cough, no energy, diarrhea (was like wet sand).MedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Dose 4 — Pfizer-BioNTech
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2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
-
2022-07-14
Survey response — 3 months, dose 4MedDRA: Exposure to SARS-CoV-2, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: Slight fever and fatigue after being in contact with someone with confirmed Covid. This happened 20 hour after the contact, but only lasted around 10 hours. Was in contact only for around 20 minutes, and at a distance.MedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-02
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Impaired work ability, Pyrexia — Feeling: GoodFree text: I got my shot last week. on the next day, o got fever, chills, and was unable to work. the day after that, i was fineMedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-12-26
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2023-03-29
Survey response — 6 months, dose 5MedDRA: Back disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-03-29
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
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2023-03-30
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): just a little sore at the injection site.
Systemic reaction (other): Seeing aura lights every few hours without the migraine. I haven't had a migraine with aura for a few years, seems strange.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): brain feels foggy or disjointed
Systemic reaction (other): Brain fog. focus issues
Systemic reaction (other): brain fog. focus issues
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): cold sore blister.
Systemic reaction (other): cold sore
Release 10 — day 14, dose 3
Symptoms: Strong joint pain in the shoulder of the arm that received the vaccine. Might be arthritis.
Release 10 — 3 months, dose 3
Symptoms: Symptoms started on evening of 12/26/2022. Each day for a week had different symptoms. Fever, sore throat, nasal congestion, cough, no energy, diarrhea (was like wet sand).
Release 12 — 3 months, dose 4
Symptoms: Slight fever and fatigue after being in contact with someone with confirmed Covid. This happened 20 hour after the contact, but only lasted around 10 hours. Was in contact only for around 20 minutes, and at a distance.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I got my shot last week. on the next day, o got fever, chills, and was unable to work. the day after that, i was fine
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Aura | ✓ | ✓ | ✓ |
| SRO | Blister | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release