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52W-12893-05802

1 vaccination 5 coded responses 5 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
799 / TX
Registered
2021-09-18
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-09-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-18
    Registered in v-safe
  3. 2021-09-18
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Pyrexia, Rash — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had a fever that last 5 days with extreme joint pain. I also have developed a horrible full body rash
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-09-22
    Survey response — day 21, dose 1
    MedDRA: Dysgeusia, Emergency care, Malaise, Nausea, Rash — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I broke out in a rash all over my body and had to go to the ER. Been sick since my first shot on sept 1.I will not be getting the second one: I am still nauseous and have a metallic taste in my mouth
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-22
    Report sent to call center — day 21, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-09-29
    Survey response — day 28, dose 1
    MedDRA: Choking, Dyspnoea, Fatigue, Productive cough — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I have been extremely tired, problems breathing and have had problems with thick phlegm.Almost to the point where I feel like I am choking. I havent felt like myself since the first vaccine. I will not be taking the second shot.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-29
    Report sent to call center — day 28, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  8. 2021-10-01
  9. 2021-10-06
    Survey response — day 35, dose 1
    MedDRA: Menstrual disorder, Rash, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My period seems to be off and still have a rash. Also seem to have a lot of ringing in my ears
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-13
    Survey response — day 42, dose 1
    MedDRA: Menstruation irregular — Feeling: Fair
    Free text: My period has been off
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-01Pfizer-BioNTech No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — day 14, dose 1

2021-09-18

Symptoms: I had a fever that last 5 days with extreme joint pain. I also have developed a horrible full body rash

Release 9 — day 21, dose 1

2021-09-22

Symptoms: I broke out in a rash all over my body and had to go to the ER. Been sick since my first shot on sept 1.I will not be getting the second one: I am still nauseous and have a metallic taste in my mouth

Release 9 — day 28, dose 1

2021-09-29

Symptoms: I have been extremely tired, problems breathing and have had problems with thick phlegm.Almost to the point where I feel like I am choking. I havent felt like myself since the first vaccine. I will not be taking the second shot.

Release 10 — day 35, dose 1

2021-10-06

Symptoms: My period seems to be off and still have a rash. Also seem to have a lot of ringing in my ears

Release 10 — day 42, dose 1

2021-10-13

Symptoms: My period has been off

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
SDArthralgia · · ✓
SDChoking · · ✓
SDDysgeusia · · ✓
SDDyspnoea · · ✓
SDEmergency care · · ✓
SDFatigue · · ✓
SDMalaise · · ✓
SDMenstrual disorder · · ✓
SDMenstruation irregular · · ✓
SDNausea · · ✓
SDProductive cough · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDTinnitus · · ✓

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