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4PV-12725-88144

3 vaccinations 3 coded responses 9 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
200 / DC
Registered
2021-10-20
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-01
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-08
    Dose 3 — Pfizer-BioNTech
  4. 2021-10-20
    Registered in v-safe
  5. 2021-10-20
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-10-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-10-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  8. 2021-11-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  9. 2021-11-12
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  10. 2021-11-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  11. 2022-01-07
    Survey response — 3 months, dose 3
    MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair
    Free text: Fatigue! I have had the Epstein-Barr virus for many years. In the last 6-7 months I have been a bit more fatigued. I found out the booster has cause the Epstein-Barr virus to become active again causing the fatigue to return. Can I get a call from U?
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-09
    Survey response — 6 months, dose 3
    MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have the Epstein-Barr virus aka chronic fatigue. My understanding is the Pfizer booster brought it back. · Healthcare visit (other): Office visit with an infectious disease physician
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-09
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2022-04-14
  15. 2022-04-18
    Call successful
    Completed over the phone
  16. 2022-10-09
    Survey response — 12 months, dose 3
    MedDRA: Axillary pain, Body temperature increased, Fatigue, Influenza like illness, Oedema peripheral, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: After taking the second booster (Moderna) I had left arm pit swelling with a bit of minor pain. Also, temp elevation for a few days. The achiness, fatigue, and minor pain felt like I had the Flu. I began to feel fine after about three days.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Pfizer-BioNTech No
22021-03-01Pfizer-BioNTech No
32021-10-08Pfizer-BioNTech No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — 3 months, dose 3

2022-01-07

Symptoms: Fatigue! I have had the Epstein-Barr virus for many years. In the last 6-7 months I have been a bit more fatigued. I found out the booster has cause the Epstein-Barr virus to become active again causing the fatigue to return. Can I get a call from U? cut off by CDC

Release 11 — 6 months, dose 3

2022-04-09

Symptoms: I have the Epstein-Barr virus aka chronic fatigue. My understanding is the Pfizer booster brought it back.
Healthcare visit (other): Office visit with an infectious disease physician

Release 12 — 12 months, dose 3

2022-10-09

Symptoms: After taking the second booster (Moderna) I had left arm pit swelling with a bit of minor pain. Also, temp elevation for a few days. The achiness, fatigue, and minor pain felt like I had the Flu. I began to feel fine after about three days.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAxillary pain · · ✓
SDBody temperature increased · · ✓
SDCondition aggravated · · ✓
SDFatigue · · ✓
SDInfluenza like illness · · ✓
SDOedema peripheral · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release