5LU-27529-38675
5 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 085 / NJ
- Registered
- 2021-09-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-02-20
Dose 2 — Pfizer-BioNTech
-
2021-09-25
Dose 3 — Pfizer-BioNTech
-
2021-09-26
Registered in v-safe
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2021-09-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-09-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-29
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-02
- 2021-10-09
- 2021-10-16
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2021-10-25
Survey response — day 28, dose 3MedDRA: Headache, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had a reaction to the Flu shot (head & body aches, & fever) one month after my 3rd COVID dose. I get a yearly flu shot & never a problem, COVID 19 vaccine-related?MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-06
- 2021-12-25
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2022-03-29
Survey response — 6 months, dose 3MedDRA: Dupuytren's contracture, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dupuytren's Contracture in my left hand. · Healthcare visit (other): Primary Care Physician- Office visitMedDRA releases: 2024-11 · check-in free text available
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2022-03-29
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-30
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2022-04-23
Dose 4 — Pfizer-BioNTech
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2022-05-15
Survey response — day 21, dose 4MedDRA: Rash — Feeling: FairFree text: Reported this yesterday, did you received my answer? I have developed an unexplained rash on my chest, 3 weeks after my 4th dose of the Pfizer Vaccine. I'm due for a Second Dose (#1 on 3/18/22) of Shingrix after 5/24/2022 , will check-in w/ my MD.MedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Survey response — day 28, dose 4MedDRA: Dupuytren's contracture — Feeling: FairFree text: Dupuytren's ContractureMedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
- 2022-06-15
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2022-06-21
Call successfulDoes not wish to fill out VAERS report
- 2022-07-25
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2022-10-20
Dose 5 — Pfizer-BioNTech
- 2022-10-22
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | No |
| 2 | 2021-02-20 | Pfizer-BioNTech | No |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-23 | Pfizer-BioNTech | No |
| 5 | 2022-10-20 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 28, dose 3
Symptoms: Had a reaction to the Flu shot (head & body aches, & fever) one month after my 3rd COVID dose. I get a yearly flu shot & never a problem, COVID 19 vaccine-related?
Release 11 — 6 months, dose 3
Symptoms: Dupuytren's Contracture in my left hand.
Healthcare visit (other): Primary Care Physician- Office visit
Release 11 — day 21, dose 4
Symptoms: Reported this yesterday, did you received my answer? I have developed an unexplained rash on my chest, 3 weeks after my 4th dose of the Pfizer Vaccine. I'm due for a Second Dose (#1 on 3/18/22) of Shingrix after 5/24/2022 , will check-in w/ my MD. cut off by CDC
Release 11 — day 28, dose 4
Symptoms: Dupuytren's Contracture
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 | Dupuytren's contracture | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release