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
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2021-09-01
Dose 1 — Pfizer-BioNTech
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2021-09-18
Registered in v-safe
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2021-09-18
Survey response — day 14, dose 1MedDRA: Arthralgia, Pyrexia, Rash — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I had a fever that last 5 days with extreme joint pain. I also have developed a horrible full body rashMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Survey response — day 21, dose 1MedDRA: 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 visitFree 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 mouthMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Report sent to call center — day 21, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-09-29
Survey response — day 28, dose 1MedDRA: 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, HospitalizationFree 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
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2021-09-29
Report sent to call center — day 28, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-01
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2021-10-06
Survey response — day 35, dose 1MedDRA: Menstrual disorder, Rash, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My period seems to be off and still have a rash. Also seem to have a lot of ringing in my earsMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Survey response — day 42, dose 1MedDRA: Menstruation irregular — Feeling: FairFree text: My period has been offMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-01 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — day 14, dose 1
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
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Choking | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release