3UZ-28611-81063
5 vaccinations
15 coded responses
43 check-ins
15 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 394 / MS
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Dose 1 — Pfizer-BioNTech
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2021-01-19
Registered in v-safe
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-22
- 2021-01-29
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2021-02-05
Dose 2 — Pfizer-BioNTech
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2021-02-05
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Fatigue or tirednessFree text: Burning at area of injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Sharp intermittent needle like pain in outer left chest but went away within 5 to 8 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Breast pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Was having pain in left breast · Healthcare visit (other): Saw doctor then had mammogram which was clearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-06
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2021-09-24
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasms — Feeling: Fair · Muscle or body achesFree text: Had a bad cramp in right and left side for about 45 seconds then it went awayMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — day 7, dose 3MedDRA: Discomfort, Musculoskeletal discomfort — Feeling: Fair · Muscle or body achesFree text: Discomfort in lower left lung and same place on back in lower lungMedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
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2021-12-24
Survey response — 3 months, dose 3MedDRA: Cataract, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cataracts in both eyes and being referred to retina doctor · Healthcare visit (other): Office visit, will be having eye surgeryMedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-28
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2021-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-03-25
Survey response — 6 months, dose 3MedDRA: Cataract operation, Office visit, Retinal detachment — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Health had to have cataract surgery and detached retina but no symptoms of Covid-19 · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-03-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-03-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-04-14
Dose 4 — Pfizer-BioNTech
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2022-04-14
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Pain — Feeling: Good · Joint painsFree text: Soreness and minimal pain in right hipMedDRA releases: 2024-11 · check-in free text available
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Joint painsFree text: Still have right hip pain and pain in left big toe and toe next to big toeMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
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2022-04-21
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
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2022-05-05
Survey response — day 21, dose 4MedDRA: Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Just feeling badMedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-21
- 2022-05-26
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2022-07-14
Survey response — 3 months, dose 4MedDRA: Office visit, Pre-existing disease, Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Have modules in lung that has not grown in years one has turned into a mass · Healthcare visit (other): Primary care physicianMedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-15
- 2022-07-15
- 2022-07-15
- 2022-07-15
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2022-07-19
Callback requested for03:00PM ET
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2022-07-19
Call successfulCompleted over the phone
- 2022-10-13
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2022-10-27
Dose 5 — Pfizer-BioNTech
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-10-27 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 1
2 waits over 3 months for a first call
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Burning at area of injection
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sharp intermittent needle like pain in outer left chest but went away within 5 to 8 minutes
Release 8 — 3 months, dose 2
Symptoms: Was having pain in left breast
Healthcare visit (other): Saw doctor then had mammogram which was clear
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Had a bad cramp in right and left side for about 45 seconds then it went away
Release 9 — day 7, dose 3
Systemic reaction (other): Discomfort in lower left lung and same place on back in lower lung
Release 10 — 3 months, dose 3
Symptoms: Cataracts in both eyes and being referred to retina doctor
Healthcare visit (other): Office visit, will be having eye surgery
Release 11 — 6 months, dose 3
Symptoms: Health had to have cataract surgery and detached retina but no symptoms of Covid-19
Healthcare visit (other): Office visit
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Systemic reaction (other): Soreness and minimal pain in right hip
Systemic reaction (other): Still have right hip pain and pain in left big toe and toe next to big toe
Systemic reaction (other): No
Systemic reaction (other): None
Release 11 — day 7, dose 4
Systemic reaction (other): None
Release 11 — day 21, dose 4
Symptoms: Just feeling bad
Release 12 — 3 months, dose 4
Symptoms: Have modules in lung that has not grown in years one has turned into a mass
Healthcare visit (other): Primary care physician
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Cataract | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pulmonary mass | · | · | ✓ |
| SD | Retinal detachment | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release