3MM-28726-25387
2 vaccinations
4 coded responses
8 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 910 / CA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Dose 2 — Pfizer-BioNTech
-
2021-01-17
Registered in v-safe
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Diarrhoea, Pyrexia, Swollen tongue, Urticaria — Feeling: Fair · Site: Pain, Itching · Fever · Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Yes I actually entered the second dose and it didnt give me the option of changing the date I had the first dose of Pfizer on December 17 I had the second is on Wednesday, January 13 on Thursday morning I woke up with a swollen tongue a fever of 101 chills explosive diarrhea urticaria on the affected Affected arm and also on my neck and abdomen today is actually day fourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Nausea, Diarrhea, Abdominal painAdult check-in
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2021-01-22
Survey response — day 7, dose 1MedDRA: Rhinitis, Sneezing — Feeling: Good · DiarrheaFree text: Copious coryza and sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 14, dose 1MedDRA: Diarrhoea, Rhinitis — Feeling: FairFree text: Diarrhea. And coryzaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — day 28, dose 2MedDRA: Diarrhoea, Frequent bowel movements — Feeling: Good · Be unable to workFree text: Frequent diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yes I actually entered the second dose and it didnt give me the option of changing the date I had the first dose of Pfizer on December 17 I had the second is on Wednesday, January 13 on Thursday morning I woke up with a swollen tongue a fever of 101 chills explosive diarrhea urticaria on the affected Affected arm and also on my neck and abdomen today is actually day four
Release 2 — day 7, dose 1
Systemic reaction (other): Copious coryza and sneezing
Release 2 — day 14, dose 1
Symptoms: Diarrhea. And coryza
Release 4 — day 28, dose 2
Symptoms: Frequent diarrhea
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Frequent bowel movements | ✓ | ✓ | ✓ |
| SD | Rhinitis | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rhinitis | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release