2PW-10967-53728
4 vaccinations
10 coded responses
49 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Pfizer-BioNTech
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Good · Site: Pain · NauseaFree text: Just feel like you do when you first feel like youre coming down with something.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
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2021-02-16
Survey response — day 14, dose 1MedDRA: Cough, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Fever and coughing but I dont know if its related to my vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 21, dose 1MedDRA: Office visit, SARS-CoV-2 test positive — 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: Symptoms: I tested positive for Covid yesterday. I started not feeling well on February 9th about 7 days after my 1st injection. · Healthcare visit (other): I saw a NP at my own healthcare location.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-02
-
2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I think my symptoms are between mild and moderate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: Now I have fever blister on my lips.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fever · NoneAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
-
2021-10-04
Dose 3 — Pfizer-BioNTech
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2021-10-04
Survey response — day 0, dose 3MedDRA: Pericarditis — Feeling: GoodFree text: I am being treated for Pericarditis.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-12
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2022-01-03
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2022-04-02
Dose 4 — Pfizer-BioNTech
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2022-04-04
Survey response — 6 months, dose 3MedDRA: Hospitalisation, Pericarditis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I ended up with pericarditis in July 2021. I was hospitalized twice.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-04-05
Call successfulDoes not wish to fill out VAERS report
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2022-04-15
Survey response — day 7, dose 4MedDRA: Chills, Diarrhoea, Fatigue, Headache, Pyrexia, Vomiting — Feeling: GoodFree text: The day after I got my 2nd booster I ran a temperature of 101, headache, chills, vomited and had diarrhea. It lasted 24 hrs and then I was fine but tired for another day.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
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2022-07-02
Survey response — 3 months, dose 4MedDRA: Office visit, Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: A blood clot in my leg. · Healthcare visit (other): Had an ultrasound at the doctor office and was then referred to a specialist and am now on Eliquis.MedDRA releases: 2024-11 · check-in free text available
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2022-07-02
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-07-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-01
Survey response — 6 months, dose 4MedDRA: Deep vein thrombosis, Office visit, Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood clot in my leg. DVT. · Healthcare visit (other): Saw my primary care doctor at her office.MedDRA releases: 2024-11 · check-in free text available
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2022-10-01
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-03
Call successfulNot applicable - Accidental Reporting
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Just feel like you do when you first feel like youre coming down with something.
Release 4 — day 14, dose 1
Symptoms: Fever and coughing but I dont know if its related to my vaccine.
Release 4 — day 21, dose 1
Symptoms: I tested positive for Covid yesterday. I started not feeling well on February 9th about 7 days after my 1st injection.
Healthcare visit (other): I saw a NP at my own healthcare location.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I think my symptoms are between mild and moderate.
Systemic reaction (other): Now I have fever blister on my lips.
Release 9 — day 0, dose 3
Systemic reaction (other): I am being treated for Pericarditis.
Release 11 — 6 months, dose 3
Symptoms: I ended up with pericarditis in July 2021. I was hospitalized twice.
Release 11 — day 7, dose 4
Systemic reaction (other): The day after I got my 2nd booster I ran a temperature of 101, headache, chills, vomited and had diarrhea. It lasted 24 hrs and then I was fine but tired for another day.
Release 12 — 3 months, dose 4
Symptoms: A blood clot in my leg.
Healthcare visit (other): Had an ultrasound at the doctor office and was then referred to a specialist and am now on Eliquis.
Release 12 — 6 months, dose 4
Symptoms: Blood clot in my leg. DVT.
Healthcare visit (other): Saw my primary care doctor at her office.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pericarditis | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release