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56J-22842-91339

3 vaccinations 14 coded responses 40 check-ins 14 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
781 / TX
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Registered in v-safe
  2. 2021-02-26
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-26
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  5. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Mouth ulceration, Tongue ulceration — Feeling: Fair
    Free text: 3 total ulcers on my tongue and inside my mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-05
    Survey response — day 7, dose 1
    MedDRA: Mouth ulceration — Feeling: Fair
    Free text: Numerous ulcers in mouth and tongue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-19
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-19
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ulcer — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Free text: Ulcers on my tongue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tongue ulceration — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Ulcers on my tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tongue ulceration — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Ulcers on my tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  21. 2021-04-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Back pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: 1. Pain and weakness in my knuckles both hands. 2. Pain in my back.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-16
    Survey response — day 28, dose 2
    MedDRA: Back pain, Pleuritic pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sharp pain in back. Painful to take deep breath. Lasted about 4 days. (4/9-13/21)Felt feverish throughout the past week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-23
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Muscle pain and weakness throughout the body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-23
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-04-30
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Back pain, Depression, Dyspnoea, Fatigue, Joint stiffness, Malaise, Memory impairment, Mouth ulceration, Muscular weakness, Paraesthesia, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: * depression* dont feel well daily* memory issues* pain in multiple joints* muscle weakness* joint tenderness* joint stiffness* low grade fevers* fatigue* mouth ulcers* tingling in my head* back pain* difficulty breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-16
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-16
    Survey response — day 0, dose 3
    MedDRA: Mouth ulceration — Feeling: Fair · Fatigue or tiredness
    Free text: Mouth ulcers
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Mouth ulceration — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Mouth ulcers
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-10-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  34. 2021-10-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  35. 2021-10-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  36. 2021-10-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  37. 2021-10-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-10-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-06
    Survey response — day 21, dose 3
    MedDRA: Chills, Cough, Fatigue, Headache, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cough Sore throat Feverish/chills Headaches Fatigue Nausea
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-11-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-05
  45. 2022-04-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-10-16
    Survey response — 12 months, dose 3
    MedDRA: Chills, Dizziness, Fatigue, Headache, Nausea, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Nausea Extreme Fatigue Headache Fever & chills Light headed
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Pfizer-BioNTech
22021-03-19Pfizer-BioNTech
32021-10-16Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): 3 total ulcers on my tongue and inside my mouth.

Release 5 — day 7, dose 1

2021-03-05

Systemic reaction (other): Numerous ulcers in mouth and tongue.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Ulcers on my tongue.

2021-03-21

Systemic reaction (other): Ulcers on my tongue

2021-03-22

Systemic reaction (other): Ulcers on my tongue

2021-03-23

Systemic reaction (other): dizzy

Release 7 — day 21, dose 2

2021-04-09

Symptoms: 1. Pain and weakness in my knuckles both hands. 2. Pain in my back.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Sharp pain in back. Painful to take deep breath. Lasted about 4 days. (4/9-13/21)Felt feverish throughout the past week.

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Muscle pain and weakness throughout the body.

Release 8 — day 42, dose 2

2021-04-30

Symptoms: * depression* dont feel well daily* memory issues* pain in multiple joints* muscle weakness* joint tenderness* joint stiffness* low grade fevers* fatigue* mouth ulcers* tingling in my head* back pain* difficulty breathing

Release 10 — day 0, dose 3

2021-10-16

Systemic reaction (other): Mouth ulcers

Release 10 — days 1–6 daily, dose 3

2021-10-17

Systemic reaction (other): Mouth ulcers

Release 10 — day 21, dose 3

2021-11-06

Symptoms: Cough Sore throat Feverish/chills Headaches Fatigue Nausea

Release 12 — 12 months, dose 3

2022-10-16

Symptoms: Nausea Extreme Fatigue Headache Fever & chills Light headed

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 ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDDepression ✓ ✓ ✓
SDDizziness · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDJoint stiffness ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDMouth ulceration ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPleuritic pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROMouth ulceration ✓ ✓ ✓
SROTongue ulceration ✓ ✓ ✓
SROUlcer ✓ ✓ ✓

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

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