3DL-28607-46290
6 vaccinations
12 coded responses
55 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 840 / UT
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
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2021-03-05
Registered in v-safe
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Limb mass, Peripheral swelling, Rash, Rash erythematous, Rash pruritic, Rash vesicular — Feeling: Fair · Chills, Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The rash was tiny red dots with clear blisters that itched a lot on the left forearm and on the right leg above the ankle---that area on the leg also had swelling and a noticeable lump about the size of a quarter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-08
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-03-30
Dose 2 — Pfizer-BioNTech
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
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2021-09-29
Dose 3 — Pfizer-BioNTech
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Rash — Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I had a moderate rash with the 1st shot so took allergy meds for the next two shots and had only mild reactions both times.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Headache, Fatigue or tirednessFree text: Yesterday I had mild fatigue or tiredness, but didn't mark itMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
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2021-10-13
Survey response — day 14, dose 3MedDRA: Dehydration, Urinary tract infection, Urine analysis abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Got a bit dehydrated. Urinalysis showed UTIMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-19
- 2021-10-20
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2021-10-27
Survey response — day 28, dose 3MedDRA: Arthralgia, Mobility decreased, Muscular weakness, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: Muscle weakness and arthritis pain. I had 4 discs fused in 2015, and both knees had replacements in 2017. I was unable to take my anti-inflammatory meds for a few days because of changing my blood pressure medicine, so could hardly get out of bed.MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-29
- 2021-11-03
- 2021-11-12
- 2021-12-29
- 2022-03-30
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2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Dehydration — Feeling: GoodFree text: Just recognized that I am a little dehydrated---as I think about it, I think I have been a bit dehydrated each time I have had a shot. Nothing unusual---I always run "easily dehydrated". It may just be a combination of all my meds.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-04-27
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2022-05-04
Survey response — day 14, dose 4MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: For 2-3 days I was very tired.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
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2022-07-20
Survey response — 3 months, dose 4MedDRA: COVID-19, Hospitalisation — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had to go to the hospital for oxygen on June 12th---I had Covid. My whole family got it.MedDRA releases: 2024-11 · check-in free text available
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2022-07-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-07-21
- 2022-07-21
- 2022-07-21
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2022-07-22
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 5 — Pfizer-BioNTechCo-administered: Flu
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2023-04-22
Dose 6 — Pfizer-BioNTechCo-administered: Shingles
- 2023-04-22
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2023-04-22
Survey response — 12 months, dose 4MedDRA: Asthenia, Dyspnoea, Hypersomnia, Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-23
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2023-04-24
Health check-in — days 1–6 daily, dose 6Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2023-04-25
Survey response — days 1–6 daily, dose 6MedDRA: Injection site reaction, Injection site swelling, Rash, Rash erythematous — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-26
Health check-in — days 1–6 daily, dose 6Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2023-04-27
Survey response — days 1–6 daily, dose 6MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteMedDRA releases: 2024-11
- 2023-04-28
- 2023-04-29
- 2023-05-06
- 2023-05-13
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2023-05-20
Survey response — day 28, dose 6MedDRA: Cough, Oropharyngeal pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-05-27
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
| 5 | 2022-11-03 | Pfizer-BioNTech | Flu |
| 6 | 2023-04-22 | Pfizer-BioNTech | Shingles |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): The rash was tiny red dots with clear blisters that itched a lot on the left forearm and on the right leg above the ankle---that area on the leg also had swelling and a noticeable lump about the size of a quarter.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I had a moderate rash with the 1st shot so took allergy meds for the next two shots and had only mild reactions both times.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday I had mild fatigue or tiredness, but didn't mark it
Release 10 — day 14, dose 3
Symptoms: Got a bit dehydrated. Urinalysis showed UTI
Release 10 — day 28, dose 3
Symptoms: Muscle weakness and arthritis pain. I had 4 discs fused in 2015, and both knees had replacements in 2017. I was unable to take my anti-inflammatory meds for a few days because of changing my blood pressure medicine, so could hardly get out of bed.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Just recognized that I am a little dehydrated---as I think about it, I think I have been a bit dehydrated each time I have had a shot. Nothing unusual---I always run "easily dehydrated". It may just be a combination of all my meds.
Release 11 — day 14, dose 4
Symptoms: For 2-3 days I was very tired.
Release 12 — 3 months, dose 4
Symptoms: I had to go to the hospital for oxygen on June 12th---I had Covid. My whole family got it.
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 | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Urine analysis abnormal | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dehydration | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Limb mass | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Rash vesicular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release