3HL-26842-67391
5 vaccinations
8 coded responses
63 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 834 / ID
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Pfizer-BioNTech
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Fair · Fatigue or tirednessFree text: Really cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · Joint painsFree text: Still cold but not chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
-
2021-04-19
Dose 2 — Pfizer-BioNTech
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Nausea, Taste disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Inj site but a little tried to massage it then tried lifting a weight I started to taste a medicine taste that lasted an hour or so have been slightly nauseated since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Nausea · Be unable to do your normal daily activitiesFree text: My stomach gets extremely upset when I eat snything it's been about48 hours now.i can sip water throughout the day.ndMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-19
- 2021-10-18
-
2021-11-15
Dose 3 — Pfizer-BioNTech
-
2021-11-15
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
-
2021-11-22
Survey response — day 7, dose 3MedDRA: Body temperature decreased — Feeling: Fair · Fever · Chills, Fatigue or tiredness, NauseaFree text: Oxygen= 97%, Normal Temp 97.3MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
-
2021-12-27
Survey response — day 42, dose 3MedDRA: Feeling cold, Vaccine positive rechallenge — Feeling: FairFree text: I have been freezing the last 2 days this also happened days after my first 2 shots. I cannot get warm for more than a couple minutes. I had heat at 71. Fully dressed I added a sweatshirt or a blanket and still did not get warm.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-14
-
2022-04-27
Dose 4 — Pfizer-BioNTech
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
-
2022-05-20
Survey response — day 21, dose 4MedDRA: Knee arthroplasty, Medical counselling, Surgery — Feeling: Poor · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I just had a total knee replacement on Monday the 16th. I do not believe there are any symptoms from my covid booster, just from my knee surgery. Was healthy when I had surgery. Overnight patient now receiving home health care. · Healthcare visit (other): Post surgury Home healthMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-26
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-09-22
Dose 5 — Pfizer-BioNTech
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
-
2022-10-20
Survey response — day 28, dose 5MedDRA: Aphasia, Memory impairment, Speech disorder — Feeling: GoodFree text: I say a sentence and get words in the wrong order instead of cat ate a bird I say bird ate a cat. I don't remember the word I need I mean to say quart of milk but can't remember the word quart or I forget what I'm saying mid sentence.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-11-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Really cold.
Systemic reaction (other): Still cold but not chills
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Inj site but a little tried to massage it then tried lifting a weight I started to taste a medicine taste that lasted an hour or so have been slightly nauseated since then.
Systemic reaction (other): My stomach gets extremely upset when I eat snything it's been about48 hours now.i can sip water throughout the day.nd
Release 10 — day 7, dose 3
Systemic reaction (other): Oxygen= 97%, Normal Temp 97.3
Release 10 — day 42, dose 3
Symptoms: I have been freezing the last 2 days this also happened days after my first 2 shots. I cannot get warm for more than a couple minutes. I had heat at 71. Fully dressed I added a sweatshirt or a blanket and still did not get warm.
Release 11 — day 21, dose 4
Symptoms: I just had a total knee replacement on Monday the 16th. I do not believe there are any symptoms from my covid booster, just from my knee surgery. Was healthy when I had surgery. Overnight patient now receiving home health care.
Healthcare visit (other): Post surgury Home health
Release 12 — day 28, dose 5
Symptoms: I say a sentence and get words in the wrong order instead of cat ate a bird I say bird ate a cat. I don't remember the word I need I mean to say quart of milk but can't remember the word quart or I forget what I'm saying mid sentence.
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Aphasia | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Speech disorder | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release