527-23546-91806
4 vaccinations
15 coded responses
46 check-ins
16 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 120 / NY
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
- 2021-04-08
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-22
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2021-04-28
Dose 2 — Pfizer-BioNTech
-
2021-04-28
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-05-07
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-12
- 2021-05-19
- 2021-05-26
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2021-06-02
Survey response — day 35, dose 2MedDRA: Rash pruritic — Feeling: GoodFree text: Very itchy rash, nowhere near the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
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2021-07-28
Survey response — 3 months, dose 2MedDRA: Folliculitis, Fungal skin infection, Rash — 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: Rash, probably folliculitis, very probably fungal in nature but the question is asked very generally so ¯\_()_/¯MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Malaise — Feeling: FairFree text: I've just gotten a rapid test to self-administer because I'm experiencing covid-like symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-11-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-11-28
Health check-in — day 0, dose 3Feeling: Fair · Fever · Fatigue or tirednessFree text: I experience vasovagal syncope and am not bouncing back super quickly from that response to the injectionAdult check-in · check-in free text available
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2021-11-29
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend schoolFree text: Cough, sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to work or attend schoolFree text: Cough, sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Cough, sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — day 7, dose 3MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
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2021-12-19
Survey response — day 21, dose 3MedDRA: Cough — Feeling: GoodFree text: Occasional low-grade coughMedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
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2022-01-02
Survey response — day 35, dose 3MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: FairFree text: Sore throat, fatigue, light coughMedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
- 2022-02-27
- 2022-05-29
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2022-10-11
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-17
- 2022-10-18
- 2022-10-25
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2022-11-01
Survey response — day 21, dose 4MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Survey response — day 28, dose 4MedDRA: Sleep terror — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Night terrorsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-22
- 2023-01-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech | |
| 3 | 2021-11-28 | Pfizer-BioNTech | Flu |
| 4 | 2022-10-11 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Release 8 — day 35, dose 2
Symptoms: Very itchy rash, nowhere near the injection site
Release 9 — 3 months, dose 2
Symptoms: Rash, probably folliculitis, very probably fungal in nature but the question is asked very generally so ¯\_()_/¯
Release 10 — 6 months, dose 2
Symptoms: I've just gotten a rapid test to self-administer because I'm experiencing covid-like symptoms
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Systemic reaction (other): Cough, sore throat
Systemic reaction (other): Cough, sore throat
Systemic reaction (other): Cough, sore throat
Release 10 — day 7, dose 3
Systemic reaction (other): Cough
Release 10 — day 21, dose 3
Symptoms: Occasional low-grade cough
Release 10 — day 35, dose 3
Symptoms: Sore throat, fatigue, light cough
Release 12 — day 0, dose 3
Systemic reaction (other): I experience vasovagal syncope and am not bouncing back super quickly from that response to the injection
Release 12 — day 21, dose 4
Symptoms: Sore throat
Release 12 — day 28, dose 4
Symptoms: Night terrors
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 | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Folliculitis | ✓ | · | ✓ |
| SD | Fungal skin infection | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Sleep terror | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release