2FV-23690-02295
5 vaccinations
8 coded responses
57 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 317 / GA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Took first Pfizer shot on 3/16 at 9:40 AM. Had injection site pain for about 8 (eight) hours. After that all pain gone and I feel just fine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-31
- 2021-04-06
-
2021-04-07
Dose 2 — Pfizer-BioNTech
-
2021-04-07
Survey response — day 0, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Last Pfizer shot was 03/06/21. On 04/06/21, found fever blister in corner of left side of mouth. Second Pfizer appointment was today, 04/07/21@10:30 am. Twenty- five year history of Juverderm XL, dermal fillers. Got fever blister usually after Juvederm flller injections. I take Valtrex for fever blister breakouts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes, Pre-existing disease — Feeling: GoodFree text: Small fever blister reported on or about 04/07/21 gone 04/08/21. (Usually get fever blister two to three weeks following Juvedern XL, dermal filler injection). No Valtrex needed. This statement is on response to a prior CDC question regarding dermal fillers. Last Juvederm XL filler received on 2018. Again, I have used Juvederm since 2003, not 25 years as previously reported. I apologize for the miscalculation,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-22
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-08
- 2021-10-06
-
2021-10-07
Dose 3 — Pfizer-BioNTech
- 2021-10-07
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: ItchingFree text: No problems to report today, 10/9/21.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: All good. Thank you Jesus!!!!!MedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: ItchingFree text: All good today, 10/11/21. Thank you Jesus!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-14
- 2021-10-22
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2022-01-06
-
2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-07
-
2022-04-18
Survey response — day 7, dose 4MedDRA: Abdominal discomfort, Dizziness, Hyperhidrosis, Injection site pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Took second Pfizer booster at CVS on (b)(6) Drive at 12:17. Only reaction was injection site pain for 24 hours. Then on April 9 while driving home from shopping I experienced wooziness, day sweats, churning stomach 12:30-3:30. Fully recovered.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
-
2022-09-28
Dose 5 — Pfizer-BioNTech
-
2022-09-29
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: All Great! Thank you Jesus!!MedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-10
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Took first Pfizer shot on 3/16 at 9:40 AM. Had injection site pain for about 8 (eight) hours. After that all pain gone and I feel just fine!
Release 7 — day 0, dose 2
Systemic reaction (other): Last Pfizer shot was 03/06/21. On 04/06/21, found fever blister in corner of left side of mouth. Second Pfizer appointment was today, 04/07/21@10:30 am. Twenty- five year history of Juverderm XL, dermal fillers. Got fever blister usually after Juvederm flller injections. I take Valtrex for fever blister breakouts.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Small fever blister reported on or about 04/07/21 gone 04/08/21. (Usually get fever blister two to three weeks following Juvedern XL, dermal filler injection). No Valtrex needed. This statement is on response to a prior CDC question regarding dermal fillers. Last Juvederm XL filler received on 2018. Again, I have used Juvederm since 2003, not 25 years as previously reported. I apologize for the miscalculation,
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No problems to report today, 10/9/21.
Systemic reaction (other): All good. Thank you Jesus!!!!!
Systemic reaction (other): All good today, 10/11/21. Thank you Jesus!
Release 11 — day 7, dose 4
Systemic reaction (other): Took second Pfizer booster at CVS on (b)(6) Drive at 12:17. Only reaction was injection site pain for 24 hours. Then on April 9 while driving home from shopping I experienced wooziness, day sweats, churning stomach 12:30-3:30. Fully recovered.
redacted (b)(6)
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): All Great! Thank you Jesus!!
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 |
|---|---|---|---|---|
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release