3GC-93842-51585
4 vaccinations
16 coded responses
27 check-ins
16 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 05-11
- ZIP prefix
- 018 / MA
- Registered
- 2022-07-22
- Relationship
- Child or adolescent in my care
- Guardian
- PMG-22387-94270
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-12-03
Dose 1 — Pfizer-BioNTech
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2022-01-07
Dose 2 — Pfizer-BioNTech
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2022-07-22
Registered in v-safe
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2022-07-22
Dose 3 — Pfizer-BioNTech
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2022-07-22
Survey response — day 0, dose 3, dependentMedDRA: Body temperature increased — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Temperature 99.9 FMedDRA releases: 2024-11 · check-in free text available
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2022-07-23
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-07-24
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-07-26
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Photopsia — Feeling: Good · Site: Swelling · Fever · 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: Flashing lights in outer corner of left eye.MedDRA releases: 2024-11 · check-in free text available
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2022-07-26
Report sent to call center — days 1–6 daily, dose 3, dependentBe 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)
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2022-07-27
Health check-in — days 1–6 daily, dose 3, dependentFeeling: Good · Site: Swelling · Fever · Fatigue or tiredness, NauseaAdult check-in
- 2022-07-27
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2022-07-27
Call successfulCompleted over the phone
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2022-07-29
Survey response — day 7, dose 3, dependentMedDRA: Skin warm — Feeling: Good · Site: Swelling · FeverFree text: Arm is warm to touch.MedDRA releases: 2024-11 · check-in free text available
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2022-08-05
Survey response — day 14, dose 3, dependentMedDRA: Body temperature increased — Feeling: GoodFree text: Consistent temp of 99.9 F in the morning which is not typical at all of her. Her evening temp are similar but does not go above 100.2 F.MedDRA releases: 2024-11 · check-in free text available
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2022-08-13
Survey response — day 21, dose 3, dependentMedDRA: Body temperature increased — Feeling: GoodFree text: She continues to have a daily temperature of between 99.9 F in the morning to 100.2 in the evening. Her normal daily temperature before the Covid booster was between 96.7 - 97.9 F.MedDRA releases: 2024-11 · check-in free text available
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2022-08-19
Survey response — day 28, dose 3, dependentMedDRA: Body temperature increased — Feeling: GoodFree text: It's not worsening but she continues to have a daily temperature of 99.3 -100.1 degrees F.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-27
- 2022-09-02
- 2022-10-23
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2022-11-04
Dose 4 — Pfizer-BioNTech
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2022-11-04
Survey response — day 0, dose 4, dependentMedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-05
Survey response — days 1–6 daily, dose 4, dependentMedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-06
Survey response — days 1–6 daily, dose 4, dependentMedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Survey response — days 1–6 daily, dose 4, dependentMedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Survey response — days 1–6 daily, dose 4, dependentMedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Survey response — days 1–6 daily, dose 4, dependentMedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Survey response — days 1–6 daily, dose 4, dependentMedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — day 7, dose 4, dependentMedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-25
- 2022-12-02
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2022-12-10
Survey response — day 35, dose 4, dependentMedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to work or attend schoolFree text: Diarrhea and nauseaMedDRA releases: 2024-11 · check-in free text available
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2022-12-18
Survey response — day 42, dose 4, dependentMedDRA: Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sneezing, runny nose, sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2023-02-05
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-03 | Pfizer-BioNTech | No |
| 2 | 2022-01-07 | Pfizer-BioNTech | No |
| 3 | 2022-07-22 | Pfizer-BioNTech | No |
| 4 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — day 0, dose 3, dependent
Systemic reaction (other): Temperature 99.9 F
Release 12 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Flashing lights in outer corner of left eye.
Release 12 — day 7, dose 3, dependent
Systemic reaction (other): Arm is warm to touch.
Release 12 — day 14, dose 3, dependent
Symptoms: Consistent temp of 99.9 F in the morning which is not typical at all of her. Her evening temp are similar but does not go above 100.2 F.
Release 12 — day 21, dose 3, dependent
Symptoms: She continues to have a daily temperature of between 99.9 F in the morning to 100.2 in the evening. Her normal daily temperature before the Covid booster was between 96.7 - 97.9 F.
Release 12 — day 28, dose 3, dependent
Symptoms: It's not worsening but she continues to have a daily temperature of 99.3 -100.1 degrees F.
Release 12 — day 0, dose 4, dependent
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 4, dependent
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Release 12 — day 7, dose 4, dependent
Systemic reaction (other): No
Release 12 — day 35, dose 4, dependent
Symptoms: Diarrhea and nausea
Release 12 — day 42, dose 4, dependent
Symptoms: Sneezing, runny nose, sore throat.
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 | Body temperature increased | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Photopsia | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release