3GW-13265-99309
4 vaccinations
4 coded responses
29 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 150 / PA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Pfizer-BioNTech
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Systemic lupus erythematosus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: cant distinguish between Migraine issues and Lupus symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash erythematous — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: a small rash or red mark R side torso near armpit. No pain, etcMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Pfizer-BioNTech
- 2021-04-12
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-04-19
-
2021-04-26
Survey response — day 14, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: body aches, pains in lower half of body.I cant decipher whether these symptoms are from the Disease I suffer from or if its from the vaccine.I suffer from Cocksackie B3 virus with the enterovirus which turned into CFS..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
-
2021-05-17
Survey response — day 35, dose 2MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: chronic fatigue/pain lower body.could be from disease I have thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-10-18
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-12
- 2022-04-25
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-12 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | Flu |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): cant distinguish between Migraine issues and Lupus symptoms
Systemic reaction (other): a small rash or red mark R side torso near armpit. No pain, etc
Release 8 — day 14, dose 2
Symptoms: body aches, pains in lower half of body.I cant decipher whether these symptoms are from the Disease I suffer from or if its from the vaccine.I suffer from Cocksackie B3 virus with the enterovirus which turned into CFS..
Release 8 — day 35, dose 2
Symptoms: chronic fatigue/pain lower body.could be from disease I have 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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release