5E3-26289-74254
5 vaccinations
10 coded responses
43 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 323 / FL
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VSG-29312-02598
Adult relative or friend · Male · 2022-04-18
S3L-52005-32343
Adult relative or friend · Male · 2022-04-18
Timeline
-
2021-04-01
Dose 1 — Pfizer-BioNTech
-
2021-04-23
Registered in v-safe
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2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-04-23
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No , doing just fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle ach not that bad . 1 to 5 (give 1 ok-5 bad ) It's a 2 no big deal ..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
-
2021-05-08
Survey response — day 14, dose 2MedDRA: Cellulitis, Emergency care, Hospitalisation, Tooth abscess — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Abscessed tooth and Cellulitis in the face . Went to emergency room and was admitted for 2 nights .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-23
- 2021-05-28
- 2021-06-04
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2021-07-23
Survey response — 3 months, dose 2MedDRA: Arthralgia, Back pain, Headache, Joint stiffness, Tooth disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Joints feel like there stiff more in the morning. Have pain in hip and back . Had a couple headaches. Otherwise fine. Stiffness has been getting worse in time . But Im 57 . · Healthcare visit (other): Bad tooth.spent 2 daysMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
-
2021-10-20
Dose 3 — Pfizer-BioNTech
-
2021-10-22
Survey response — days 1–6 daily, dose 3MedDRA: Acne, Injection site nodule, Injection site reaction, Skin warm — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesFree text: It's a little warmer. I got a little pimple and a knot under injection spotMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Survey response — days 1–6 daily, dose 3MedDRA: Acne, Mass — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Left arm / small pimple and lump under the skinMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Axillary mass — Feeling: Fair · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: On my left arm underneath the shin is a lump .MedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Injection site mass — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Lump under skin where was injectedMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-27
Health check-in — day 7, dose 3Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-01
- 2022-01-19
- 2022-04-20
-
2022-04-28
Dose 4 — Moderna
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-10
- 2022-07-28
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2022-10-04
Dose 5 — ModernaCo-administered: Flu
- 2022-10-04
- 2022-10-05
- 2022-10-08
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-03
- 2022-11-08
-
2023-01-03
Survey response — 3 months, dose 5MedDRA: Headache, Insomnia, Pain, Respiratory tract congestion, Sinus congestion — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-03
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
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2023-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-05
Survey response — 6 months, dose 5MedDRA: Borderline glaucoma — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-10-20 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-10-04 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): No , doing just fine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle ach not that bad . 1 to 5 (give 1 ok-5 bad ) It's a 2 no big deal ..
Release 8 — day 14, dose 2
Symptoms: Abscessed tooth and Cellulitis in the face . Went to emergency room and was admitted for 2 nights .
Release 9 — 3 months, dose 2
Symptoms: Joints feel like there stiff more in the morning. Have pain in hip and back . Had a couple headaches. Otherwise fine. Stiffness has been getting worse in time . But Im 57 .
Healthcare visit (other): Bad tooth.spent 2 days
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): It's a little warmer. I got a little pimple and a knot under injection spot
Systemic reaction (other): Left arm / small pimple and lump under the skin
Systemic reaction (other): On my left arm underneath the shin is a lump .
Systemic reaction (other): Lump under skin where was injected
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 | Tooth disorder | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Back pain | ✓ | · | ✓ |
| SD | Borderline glaucoma | · | · | ✓ |
| SD | Cellulitis | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Joint stiffness | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tooth abscess | ✓ | ✓ | ✓ |
| SRO | Acne | · | · | ✓ |
| SRO | Axillary mass | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site nodule | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Mass | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Skin warm | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release