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5QD-14617-58694

3 vaccinations 8 coded responses 20 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
751 / TX
Registered
2021-01-13
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Chills, Fatigue or tiredness
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: A sharp pain here and there, not constant pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Joint pains
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Chills
    Adult check-in
  8. 2021-01-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-31
    Dose 2 — Pfizer-BioNTech
  10. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  13. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  14. 2021-02-07
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains
    Adult check-in
  15. 2021-02-14
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Chills, Myalgia — Feeling: Fair
    Free text: Chills with muscle and joint Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-21
    Survey response — day 21, dose 2
    MedDRA: Pruritus — Feeling: Fair
    Free text: Itching and I DON'T have dry skinNever had an itch like that before. It be in different areas. Goes and comes...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-28
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-08
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Chills, Influenza like illness, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: CHILLS FLU LIKE SYMPTOMS GOES AND COMESTODAY IS ONE OF THOSE DAYSA FEW ACHES AND JOINT PAIN
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-02
    Survey response — 6 months, dose 2
    MedDRA: Breast pain, Office visit, Pruritus — Feeling: Good · Be unable to work or attend school, 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
    Free text: Itching on the left side BACK areaMiddle part of BACK. The Itching wont stop. No discoloration or swelling. Right side under the Rt. Breast area pain, consistent,..Already Been to URGENT CARE
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2021-08-02
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  23. 2021-08-13
  24. 2021-12-17
    Dose 3 — Pfizer-BioNTech
  25. 2022-01-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-06-23
    Survey response — 6 months, dose 3
    MedDRA: Diverticulitis, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: I have diverticulitis. I have a problem digesting my food.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-06-23
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  28. 2022-06-24
  29. 2022-06-24
  30. 2022-06-29
  31. 2022-06-29

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Pfizer-BioNTech
22021-01-31Pfizer-BioNTech
32021-12-17Pfizer-BioNTech No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): None

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): A sharp pain here and there, not constant pain

2021-01-17

Systemic reaction (other): None

Release 4 — day 14, dose 2

2021-02-14

Symptoms: Chills with muscle and joint Pain

Release 4 — day 21, dose 2

2021-02-21

Symptoms: Itching and I DON'T have dry skinNever had an itch like that before. It be in different areas. Goes and comes...

Release 5 — day 35, dose 2

2021-03-08

Symptoms: CHILLS FLU LIKE SYMPTOMS GOES AND COMESTODAY IS ONE OF THOSE DAYSA FEW ACHES AND JOINT PAIN

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Itching on the left side BACK areaMiddle part of BACK. The Itching wont stop. No discoloration or swelling. Right side under the Rt. Breast area pain, consistent,..Already Been to URGENT CARE

Release 12 — 6 months, dose 3

2022-06-23

Symptoms: I have diverticulitis. I have a problem digesting my food.

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 ✓ ✓ ✓
SDBreast pain ✓ · ✓
SDChills ✓ ✓ ✓
SDDiverticulitis · · ✓
SDGastrointestinal disorder · · ✓
SDInfluenza like illness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDOffice visit ✓ · ✓
SDPain ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓

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

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