434-17685-08208
3 vaccinations
7 coded responses
36 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 630 / MO
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Pfizer-BioNTech
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Flushing — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Flushed face, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-06-22
-
2021-09-21
Survey response — 6 months, dose 2MedDRA: Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Had to go to emergency room9/19. They thought it was clot in lungs. CT scan didnt show anything. Did some cardiac enzyme tests. Negative. Thought it could be pleurisy. Feel better today 9/21/21MedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-23
-
2021-11-04
Dose 3 — Pfizer-BioNTech
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Axillary pain, Chills, Feeling abnormal, Lymph node pain, Pain, Pyrexia — Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Had fever chills joint pain body aches almost 24 hours later. Felt great first 24 hours. Then not great from 5pm til 1am But feel fine today. Kinda have pain under left arm like lymph nodeMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Migraine with aura, Oedema peripheral, Vision blurred, Visual impairment — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Mild swelling underarm lymph gland feels less swollen today than yesterday Had an aura (vision) migraine headache without the headache. Vision was messed up for about 20 minutes. Couldn't see on focus point with it changing over the course of 20 mMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling — Feeling: GoodFree text: A little swelling in feet. Unsure if related at all.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
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2021-11-11
Survey response — day 7, dose 3MedDRA: Joint swelling, Peripheral swelling — Feeling: GoodFree text: Only thing today is swollen (slightly) ankles/feetMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-27
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
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2022-11-04
Survey response — 12 months, dose 3MedDRA: Hospitalisation, Office visit, Pericardial effusion, Pericarditis, Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Pericarditis/pericardial effusion in June 2022. Hospitalized twice for 4 day stay each. Had pneumonia during this period as well. Doctors were unsure of cause. They also told me I shouldn't get the covid booster yet.MedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-11-07
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Flushed face, shortness of breath
Release 9 — 6 months, dose 2
Symptoms: Had to go to emergency room9/19. They thought it was clot in lungs. CT scan didnt show anything. Did some cardiac enzyme tests. Negative. Thought it could be pleurisy. Feel better today 9/21/21
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had fever chills joint pain body aches almost 24 hours later. Felt great first 24 hours. Then not great from 5pm til 1am But feel fine today. Kinda have pain under left arm like lymph node
Systemic reaction (other): Mild swelling underarm lymph gland feels less swollen today than yesterday Had an aura (vision) migraine headache without the headache. Vision was messed up for about 20 minutes. Couldn't see on focus point with it changing over the course of 20 m cut off by CDC
Systemic reaction (other): A little swelling in feet. Unsure if related at all.
Release 10 — day 7, dose 3
Systemic reaction (other): Only thing today is swollen (slightly) ankles/feet
Release 12 — 12 months, dose 3
Symptoms: Pericarditis/pericardial effusion in June 2022. Hospitalized twice for 4 day stay each. Had pneumonia during this period as well. Doctors were unsure of cause. They also told me I shouldn't get the covid booster yet.
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 | Emergency care | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pericardial effusion | · | · | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Migraine with aura | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release