37U-21650-11151
4 vaccinations
12 coded responses
42 check-ins
12 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 26-30
- ZIP prefix
- 773 / TX
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
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2021-04-07
Dose 1 — Pfizer-BioNTech
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2021-04-07
Survey response — day 0, dose 1MedDRA: Injection site pain, Pain — Feeling: FairFree text: Soreness at and proximate to the injection site when moving armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain — Feeling: GoodFree text: Tenderness when pressure is applied to or proximate to the injection site. Mid/rapidly decreasing soreness when moving my arm (moving the shoulder, not the elbow)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
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2021-04-28
Dose 2 — Pfizer-BioNTech
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2021-04-28
Survey response — day 0, dose 2MedDRA: Injection site pain, Pain — Feeling: GoodFree text: Very light tenderness/soreness at and near the site on the injection when moving my arm or applying pressure to the injection site, less than the first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Good · Site: PainFree text: Woke up with pain, but it subsided quickly. Now it is less sore than when I had the first shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Just slightly tender to the touch. It is uncomfortable to lay on the side with the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Injection site pain — Feeling: GoodFree text: Light tenderness at/around the injection site; uncomfortable to lay on my sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
- 2021-10-27
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2021-11-21
Dose 3 — Moderna
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: These symptoms (Aches and Fatigue) could also be due to not sleeping much or comfortablyMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, NauseaFree text: These were experienced yesterday from ~3p-6:30p, the headache continued till late at nightMedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Tenderness at the injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-12-12
- 2021-12-19
- 2021-12-26
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2022-01-04
Survey response — day 42, dose 3MedDRA: Bacterial infection, Influenza like illness, Nasopharyngitis — Feeling: FairFree text: Cold/Flu-like symptoms Seems like a bacterial infection though Had one negative rapid test alreadyMedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Survey response — 3 months, dose 3MedDRA: Bacterial infection, Food poisoning, Pre-existing disease — Feeling: Fair · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: General Bacterial Infection, Allergies, and Food Poisoning (bacterial infection)MedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — 3 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-21
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2022-05-22
Survey response — 6 months, dose 3MedDRA: COVID-19, Food poisoning, Oropharyngeal pain — Feeling: Fair · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Potentially Typhoid, Food Poisoning, COIVD-19, and now a sore throat/possibly a coldMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Report sent to call center — 6 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-03
Dose 4 — Moderna
- 2022-11-23
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2023-02-02
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-11-21 | Moderna | No |
| 4 | 2022-11-03 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Soreness at and proximate to the injection site when moving arm
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Tenderness when pressure is applied to or proximate to the injection site. Mid/rapidly decreasing soreness when moving my arm (moving the shoulder, not the elbow)
Release 8 — day 0, dose 2
Systemic reaction (other): Very light tenderness/soreness at and near the site on the injection when moving my arm or applying pressure to the injection site, less than the first shot
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up with pain, but it subsided quickly. Now it is less sore than when I had the first shot.
Systemic reaction (other): Just slightly tender to the touch. It is uncomfortable to lay on the side with the injection.
Systemic reaction (other): Light tenderness at/around the injection site; uncomfortable to lay on my side
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): These symptoms (Aches and Fatigue) could also be due to not sleeping much or comfortably
Systemic reaction (other): These were experienced yesterday from ~3p-6:30p, the headache continued till late at night
Systemic reaction (other): Tenderness at the injection site
Release 10 — day 42, dose 3
Symptoms: Cold/Flu-like symptoms Seems like a bacterial infection though Had one negative rapid test already
Release 11 — 3 months, dose 3
Symptoms: General Bacterial Infection, Allergies, and Food Poisoning (bacterial infection)
Release 11 — 6 months, dose 3
Symptoms: Potentially Typhoid, Food Poisoning, COIVD-19, and now a sore throat/possibly a cold
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 | Bacterial infection | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release