2DC-28505-31019
3 vaccinations
7 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 954 / CA
- Registered
- 2022-09-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Pfizer-BioNTech
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2021-03-24
Dose 2 — Pfizer-BioNTech
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2022-09-16
Dose 3 — Pfizer-BioNTech
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2022-09-18
Registered in v-safe
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2022-09-18
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-09-19
Survey response — days 1–6 daily, dose 3MedDRA: Balance disorder — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Loss of balanceMedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 3MedDRA: Gait disturbance — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: 5th day. I still can't walk straight.MedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Out of breath easilyMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — days 1–6 daily, dose 3MedDRA: Gait disturbance — Feeling: Poor · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Difficulty walking still, and pre booster I walked miles most days.MedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — day 7, dose 3MedDRA: Taste disorder — Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: My sense of taste changed with this shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
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2022-10-07
Survey response — day 21, dose 3MedDRA: Abdominal pain upper, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: The nausea since the covid booster has turned into fierce off and on stomach aches. My doctor checked me, said to come back if it gets worse.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-10
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2022-10-11
Call successfulDoes not wish to fill out VAERS report
- 2022-10-14
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2022-10-22
Survey response — day 35, dose 3MedDRA: Abdominal pain upper, Fatigue, Headache, Nausea, Taste disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Disabling fatigue. Still stomach pain and nausea. Sense of taste still hasn't returned to normal. ongoing headache. It's been over a month since booster. Fatigue is the biggest problem now. It's worse than it was. I appreciate that you check on me.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | No |
| 2 | 2021-03-24 | Pfizer-BioNTech | No |
| 3 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Loss of balance
Systemic reaction (other): 5th day. I still can't walk straight.
Systemic reaction (other): Out of breath easily
Systemic reaction (other): Difficulty walking still, and pre booster I walked miles most days.
Release 12 — day 7, dose 3
Systemic reaction (other): My sense of taste changed with this shot.
Release 12 — day 21, dose 3
Symptoms: The nausea since the covid booster has turned into fierce off and on stomach aches. My doctor checked me, said to come back if it gets worse.
Release 12 — day 35, dose 3
Symptoms: Disabling fatigue. Still stomach pain and nausea. Sense of taste still hasn't returned to normal. ongoing headache. It's been over a month since booster. Fatigue is the biggest problem now. It's worse than it was. I appreciate that you check on me. cut off by CDC
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 | Abdominal pain upper | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Taste disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release