3ZS-11547-22029
5 vaccinations
11 coded responses
50 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 329 / FL
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain, SwellingFree text: The pain is only when I raise my arm. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I had a stronger reaction to the Shingles vaccine in Dec. 2020. I am putting off getting my second shot til I finish with COVID 19.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tirednessFree text: Tired from lack of sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Cold sweat, Fatigue, Rhinorrhoea — Feeling: GoodFree text: On 5/7/2021 I had a temp of 99.8.On 5/8/2921 I had a temp of 99.8.I felt clammy.On 5/14/2021 I had a drippy nose.On 5/15/2921 I felt tired and felt I was trying to get a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Nasal disorder — Feeling: GoodFree text: Like a storm was swirling in my nose. I swabbed it with a Q tip dipped in white distilled vinegar. The symptoms went away. Earlier I had eaten at a restaurant.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Dose 3 — Pfizer-BioNTech
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2021-09-12
Survey response — day 14, dose 3MedDRA: Burn oral cavity, Deafness neurosensory, Deafness unilateral, Ligament sprain, Meniscus injury, Nasopharyngitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Burn to gums of mouth by dentist.Torn meniscus and sprain of right knee. Feeling like I was coming down with a cold 1X and feeling like I was coming down with a worse cold 1 X. Sensorineural hearing loss of right ear.MedDRA releases: 2024-11 · check-in free text available
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2021-09-12
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-15
Survey response — day 21, dose 3MedDRA: Deafness unilateral, Ear discomfort, Hyperacusis, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have hearing loss in right ear. Loud noise, feeling of fullness. On 9/3. I feel it is not shot related. Maybe viral.. fever blister before.MedDRA releases: 2024-11 · check-in free text available
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2021-09-15
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-22
-
2021-09-29
Survey response — day 35, dose 3MedDRA: Deafness neurosensory, Skin warm — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sensorineural hearing loss. Warmth on right leg. Sonogram today shoes no clot.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
-
2021-11-24
Survey response — 3 months, dose 3MedDRA: Gastrooesophageal reflux disease, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: GERD. I had an endoscopy. I had a COVID test. Negative. The nurse shoved the stick way back up my nose. I could feel the fluid go around halfway my eye and half my brain. The right side only. She did the left nostril but only the nose.MedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-15
Dose 4 — Pfizer-BioNTech
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-17
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Sleep disorder — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: Fatigue is probably from interrupted sleep when rolling onto arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
- 2022-04-19
-
2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness. May be due to BPPV.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-07
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-09-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-23
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-08-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
| 5 | 2022-09-13 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The pain is only when I raise my arm. Mild.
Systemic reaction (other): I had a stronger reaction to the Shingles vaccine in Dec. 2020. I am putting off getting my second shot til I finish with COVID 19.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tired from lack of sleep.
Release 8 — 3 months, dose 2
Symptoms: On 5/7/2021 I had a temp of 99.8.On 5/8/2921 I had a temp of 99.8.I felt clammy.On 5/14/2021 I had a drippy nose.On 5/15/2921 I felt tired and felt I was trying to get a cold.
Release 9 — 6 months, dose 2
Symptoms: Like a storm was swirling in my nose. I swabbed it with a Q tip dipped in white distilled vinegar. The symptoms went away. Earlier I had eaten at a restaurant.
Release 9 — day 14, dose 3
Symptoms: Burn to gums of mouth by dentist.Torn meniscus and sprain of right knee. Feeling like I was coming down with a cold 1X and feeling like I was coming down with a worse cold 1 X. Sensorineural hearing loss of right ear.
Release 9 — day 21, dose 3
Symptoms: I have hearing loss in right ear. Loud noise, feeling of fullness. On 9/3. I feel it is not shot related. Maybe viral.. fever blister before.
Release 9 — day 35, dose 3
Symptoms: Sensorineural hearing loss. Warmth on right leg. Sonogram today shoes no clot.
Release 10 — 3 months, dose 3
Symptoms: GERD. I had an endoscopy. I had a COVID test. Negative. The nurse shoved the stick way back up my nose. I could feel the fluid go around halfway my eye and half my brain. The right side only. She did the left nostril but only the nose.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Fatigue is probably from interrupted sleep when rolling onto arm.
Systemic reaction (other): Dizziness. May be due to BPPV.
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 | Burn oral cavity | · | · | ✓ |
| SD | Cold sweat | ✓ | ✓ | ✓ |
| SD | Deafness neurosensory | · | · | ✓ |
| SD | Deafness unilateral | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Hyperacusis | · | · | ✓ |
| SD | Ligament sprain | · | · | ✓ |
| SD | Meniscus injury | · | · | ✓ |
| SD | Nasal disorder | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release