56L-48720-52908
4 vaccinations
12 coded responses
46 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 601 / IL
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-02-04
Dose 1 — Pfizer-BioNTech
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 2 — Pfizer-BioNTech
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2021-02-25
Survey response — day 0, dose 2MedDRA: Nausea — Feeling: Fair · Site: PainFree text: Mild nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Metal taste in mouth & throat all day yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Not sure fatigue is related to shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-11
Survey response — day 14, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Not sure if this symptom is related & havent mentioned before, but Ive been dizzy off & on for a couple of weeks. Lightheaded, but not all the time. Did not experience this before 2nd vaccin. IMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
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2021-10-05
Dose 3 — Pfizer-BioNTech
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2021-10-05
Survey response — day 0, dose 3MedDRA: Dysgeusia, Nasal discomfort — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Burning in nostrils & odd taste in mouthMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-07
- 2021-10-08
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2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
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2021-10-26
Survey response — day 21, dose 3MedDRA: Office visit, Pharyngitis streptococcal — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Was diagnosed with strep throat today. Probably unrelated to vaccine. · Healthcare visit (other): Dr. OfficeMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-02
- 2021-11-09
- 2021-11-16
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2022-01-04
Survey response — 3 months, dose 3MedDRA: Breakthrough COVID-19, SARS-CoV-2 test positive — 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 consultationFree text: Tested positive for Covid on a Dec 28 This is second breakthrough case, first was May 5, same year, 2021MedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-01-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-05
Survey response — 6 months, dose 3MedDRA: Office visit, Vitamin B12 deficiency — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: B12 deficiency. Not sure if related to shot · Healthcare visit (other): B12 shot in Dr office on April 1MedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-06
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2022-04-11
Call successfulDoes not wish to fill out VAERS report
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2022-04-25
Dose 4 — Pfizer-BioNTech
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2022-04-25
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-04-27
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: GoodFree text: Sniffles, probably allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
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2022-10-24
Survey response — 6 months, dose 4MedDRA: Gastrointestinal disorder, Pain in extremity — 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 consultationFree text: Leg pain & aches. Stomach issues. May not be related to shot. Not sureMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-10-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-25
Survey response — 12 months, dose 4MedDRA: Chemotherapy, Illness, Non-Hodgkin's lymphoma — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-25 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Mild nausea
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Metal taste in mouth & throat all day yesterday
Systemic reaction (other): Not sure fatigue is related to shot
Release 5 — day 14, dose 2
Symptoms: Not sure if this symptom is related & havent mentioned before, but Ive been dizzy off & on for a couple of weeks. Lightheaded, but not all the time. Did not experience this before 2nd vaccin. I
Release 10 — day 0, dose 3
Systemic reaction (other): Burning in nostrils & odd taste in mouth
Release 10 — day 21, dose 3
Symptoms: Was diagnosed with strep throat today. Probably unrelated to vaccine.
Healthcare visit (other): Dr. Office
Release 10 — 3 months, dose 3
Symptoms: Tested positive for Covid on a Dec 28 This is second breakthrough case, first was May 5, same year, 2021
Release 11 — 6 months, dose 3
Symptoms: B12 deficiency. Not sure if related to shot
Healthcare visit (other): B12 shot in Dr office on April 1
Release 11 — day 0, dose 4
Systemic reaction (other): No
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sniffles, probably allergies
Release 12 — 6 months, dose 4
Symptoms: Leg pain & aches. Stomach issues. May not be related to shot. Not sure
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Breakthrough COVID-19 | · | · | ✓ |
| SD | Chemotherapy | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Non-Hodgkin's lymphoma | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vitamin B12 deficiency | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nasal discomfort | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release