5RU-11952-55162
4 vaccinations
9 coded responses
37 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 926 / CA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-28
Dose 1 — Pfizer-BioNTech
-
2021-03-29
Registered in v-safe
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Migraine, Visual impairment — Feeling: Good · Headache, Muscle or body achesFree text: Headache was probably a migraine and had visual indicators. I dont think it was from the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
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2021-04-18
Dose 2 — Pfizer-BioNTech
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Muscle pain in right calf only could just be leg persistent leg crampMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Muscle tightness — Feeling: Good · Muscle or body achesFree text: Right leg still tight but betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: GoodFree text: Muscle cramp has subsided on right calfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Good · Muscle or body achesFree text: Muscle cramp in rt calf came back last night and this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 7, dose 2MedDRA: Muscle spasms — Feeling: Good · Muscle or body achesFree text: Minor muscle crampMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
- 2021-07-18
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2021-10-17
Survey response — 6 months, dose 2MedDRA: Cough, Diarrhoea, Nasopharyngitis, Office visit, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Toothache, Upper-airway cough syndrome — 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 professionalFree text: Symptoms: I caught a basic col on 10/3/21 Started w/ post nasal drip & then sore throat, then cough & congestion. Also had diarrhea for a # of days. Still have cough & sinus runny nose. Neg strep & covid test a Separately I've sore teeth in the bone. · Healthcare visit (other): In person office visit to doctor.MedDRA releases: 2024-11 · check-in free text available
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2021-10-17
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-10-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-23
Dose 3 — Pfizer-BioNTech
- 2022-04-20
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2022-10-21
Dose 4 — Pfizer-BioNTech
- 2022-10-21
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2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-28
- 2022-11-04
- 2022-11-13
- 2022-11-18
- 2022-11-25
- 2022-12-02
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2023-01-20
Survey response — 3 months, dose 4MedDRA: Cough, Dizziness, Fatigue, Headache, Pain, Respiratory tract congestion, Throat irritation — Feeling: Poor · 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 consultationMedDRA releases: 2024-11
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2023-01-20
Report sent to call center — 3 months, dose 4Be 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 · 1 call case(s)
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2023-01-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-21
Survey response — 6 months, dose 4MedDRA: Asthma late onset, Pericarditis, Respiratory tract infection viral — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-04-21
Report sent to call center — 6 months, dose 4Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2023-04-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-28 | Pfizer-BioNTech | |
| 2 | 2021-04-18 | Pfizer-BioNTech | |
| 3 | 2021-11-23 | Pfizer-BioNTech | No |
| 4 | 2022-10-21 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Headache was probably a migraine and had visual indicators. I dont think it was from the vaccine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle pain in right calf only could just be leg persistent leg cramp
Systemic reaction (other): Right leg still tight but better
Systemic reaction (other): Muscle cramp has subsided on right calf
Systemic reaction (other): Muscle cramp in rt calf came back last night and this morning
Release 7 — day 7, dose 2
Systemic reaction (other): Minor muscle cramp
Release 10 — 6 months, dose 2
Symptoms: I caught a basic col on 10/3/21 Started w/ post nasal drip & then sore throat, then cough & congestion. Also had diarrhea for a # of days. Still have cough & sinus runny nose. Neg strep & covid test a Separately I've sore teeth in the bone.
Healthcare visit (other): In person office visit to doctor.
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 | Asthma late onset | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release