3XP-23707-37849
4 vaccinations
12 coded responses
48 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-05
Dose 2 — Pfizer-BioNTech
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Malaise — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: General weakness & malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Vision blurred — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lower back pain & blurry visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Lower back/ hip pain - hard to tell the differenceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Improving thoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-12-25
- 2022-03-26
-
2022-04-23
Dose 4 — Pfizer-BioNTech
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Diplopia — Feeling: Poor · Site: Itching · Fever · Chills, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesFree text: Major double vision!MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Diplopia, Dizziness — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Some dizziness. Double vision seems to have resolvedMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Blepharospasm, Diplopia, Headache, Sinus headache — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Headache is like sinus headache. Husband told me this morning that on Monday (double vision) my left eye was vibrating! In case that is significant.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Somewhat light headedMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Health check-in — day 7, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-07
-
2022-05-14
Survey response — day 21, dose 4MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I'm tired all the time. Stamina has deteriorated.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — day 28, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Strange aching in my left shoulderMedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
- 2022-06-04
- 2022-07-23
- 2022-10-22
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2023-04-23
Survey response — 12 months, dose 4MedDRA: Atrial fibrillation, Cardiac failure, Diplopia, Office visit, Reaction to previous exposure to any vaccine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-04-23
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-04-24
-
2023-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): General weakness & malaise
Systemic reaction (other): Lower back pain
Systemic reaction (other): Lower back pain & blurry vision
Systemic reaction (other): Lower back/ hip pain - hard to tell the difference
Systemic reaction (other): Improving tho
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Major double vision!
Systemic reaction (other): Some dizziness. Double vision seems to have resolved
Systemic reaction (other): Headache is like sinus headache. Husband told me this morning that on Monday (double vision) my left eye was vibrating! In case that is significant.
Systemic reaction (other): Somewhat light headed
Release 11 — day 21, dose 4
Symptoms: I'm tired all the time. Stamina has deteriorated.
Release 11 — day 28, dose 4
Symptoms: Strange aching in my left shoulder
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 | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Cardiac failure | · | · | ✓ |
| SD | Diplopia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | · | · | ✓ |
| SRO | Diplopia | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Sinus headache | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release