39G-57750-87393
4 vaccinations
6 coded responses
42 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 759 / TX
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Pfizer-BioNTech
- 2021-02-25
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site is slightly tender to the touch but not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Chills, Fatigue or tirednessFree text: Had another med procedure today and don't know if these feelings are due to thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-08
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-23
-
2022-03-23
Survey response — 12 months, dose 2MedDRA: COVID-19, Enteritis, Influenza — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Covid and Enteritis and Influenza AMedDRA releases: 2024-11 · check-in free text available
-
2022-03-23
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-29
Dose 3 — Pfizer-BioNTech
- 2022-04-29
- 2022-04-30
-
2022-05-02
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Joint pains, Muscle or body achesFree text: this is nothing different than I've experienced fir months and are unrelated to the shotMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-07-29
-
2022-09-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-29
-
2022-10-03
Survey response — day 14, dose 4MedDRA: Back pain, Intervertebral disc protrusion, Pre-existing disease — Feeling: FairFree text: My back hurts bc of activity and bulging disks - not related to booster shot. I'm greatly fatigued but again, I've had insomnia and fatigue for years before Covid became a problem so I don't consider it to be related to the booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
-
2022-10-31
Survey response — day 42, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I am having more frequent and more severe episodes of low blood pressure. I've been treated for low blood pressure for 4 - 5 years with a diagnosis of Dysautonomia POTS. I don't think this is related to the vaccine though.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2022-04-29 | Pfizer-BioNTech | No |
| 4 | 2022-09-19 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site is slightly tender to the touch but not painful
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Had another med procedure today and don't know if these feelings are due to that
Release 11 — 12 months, dose 2
Symptoms: Covid and Enteritis and Influenza A
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): this is nothing different than I've experienced fir months and are unrelated to the shot
Release 12 — day 14, dose 4
Symptoms: My back hurts bc of activity and bulging disks - not related to booster shot. I'm greatly fatigued but again, I've had insomnia and fatigue for years before Covid became a problem so I don't consider it to be related to the booster.
Release 12 — day 42, dose 4
Symptoms: I am having more frequent and more severe episodes of low blood pressure. I've been treated for low blood pressure for 4 - 5 years with a diagnosis of Dysautonomia POTS. I don't think this is related to the vaccine though.
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 | Back pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Enteritis | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release