3Z5-18503-69281
5 vaccinations
9 coded responses
56 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Pfizer-BioNTech
-
2021-04-27
Registered in v-safe
-
2021-04-27
Dose 2 — Pfizer-BioNTech
- 2021-04-27
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Throat irritation — Feeling: Good · Site: ItchingFree text: Mild cough / throat tickle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: GoodFree text: Left armpit is bothering me a little.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
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2021-07-27
Survey response — 3 months, dose 2MedDRA: Cough, Office visit, SARS-CoV-2 test negative, Tooth disorder, Toothache — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dental issues/severe pain related to the need for a root canal. I also experienced dry coughing around that time, but I had a COVID test administered at Mount Sinai and the result was negative. The cough has gone away. · Healthcare visit (other): Dental appointment for antibiotics and pain killers and a follow-up COVID test (that came back negative).MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
- 2021-10-26
-
2021-11-05
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
-
2021-11-26
Survey response — day 21, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: Mild diarrhea on a couple of occasionsMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — day 28, dose 3MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stomach pain & mild diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-18
- 2022-02-04
-
2022-05-04
Dose 4 — Pfizer-BioNTech
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
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2022-05-19
Survey response — day 14, dose 4MedDRA: Cough, Fatigue, Sneezing — Feeling: GoodFree text: Coughing, sneezing, and slight fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
-
2022-06-01
Survey response — day 28, dose 4MedDRA: Cough — Feeling: GoodFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-06-15
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2022-08-03
Survey response — 3 months, dose 4MedDRA: Malaise, Patient isolation, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tested positive for COVID on 7/2/2022 and isolated for ten days. Experienced Mild symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-06
- 2022-11-12
- 2022-11-19
- 2023-01-07
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2023-04-08
Survey response — 6 months, dose 5MedDRA: Cough, Nasopharyngitis, Sneezing — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Pfizer-BioNTech | |
| 2 | 2021-04-27 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-04 | Pfizer-BioNTech | No |
| 5 | 2022-10-08 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Mild cough / throat tickle.
Systemic reaction (other): Left armpit is bothering me a little.
Release 9 — 3 months, dose 2
Symptoms: Dental issues/severe pain related to the need for a root canal. I also experienced dry coughing around that time, but I had a COVID test administered at Mount Sinai and the result was negative. The cough has gone away.
Healthcare visit (other): Dental appointment for antibiotics and pain killers and a follow-up COVID test (that came back negative).
Release 10 — day 21, dose 3
Symptoms: Mild diarrhea on a couple of occasions
Release 10 — day 28, dose 3
Symptoms: Stomach pain & mild diarrhea
Release 11 — day 14, dose 4
Symptoms: Coughing, sneezing, and slight fatigue.
Release 11 — day 28, dose 4
Symptoms: Coughing
Release 12 — 3 months, dose 4
Symptoms: Tested positive for COVID on 7/2/2022 and isolated for ten days. Experienced Mild symptoms.
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 | ✓ | · | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tooth disorder | ✓ | · | ✓ |
| SD | Toothache | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release