5UR-10605-79612
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 750 / TX
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-29
Registered in v-safe
-
2021-04-29
Dose 1 — Pfizer-BioNTech
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2021-04-29
Survey response — day 0, dose 1MedDRA: Limb discomfort, Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Slight heaviness and sore in armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain in extremity — Feeling: Good · Muscle or body achesFree text: Arm just sore in the muscle but otherwise feing great. Does moy hurt to touch the injection site just a little sore inside.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Fever · Fatigue or tirednessFree text: Arm muscle sore where injection wss givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Arm injection site soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
- 2021-05-06
- 2021-05-13
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2021-05-20
Dose 2 — Pfizer-BioNTech
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Headache, DiarrheaFree text: Arm sore from injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
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2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Pruritus — Feeling: Good · Site: Itching · DiarrheaFree text: Just slight itching on the arem that had injection. Mild diarrhea but if is decreasing everday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-26
- 2021-06-02
- 2021-06-03
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2021-06-10
Survey response — day 21, dose 2MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion and headache. May not be related to injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-06-24
- 2021-07-03
- 2021-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Pfizer-BioNTech | |
| 2 | 2021-05-20 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Slight heaviness and sore in arm
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Arm just sore in the muscle but otherwise feing great. Does moy hurt to touch the injection site just a little sore inside.
Systemic reaction (other): Arm muscle sore where injection wss given
Systemic reaction (other): Arm injection site sore
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Arm sore from injection site
Systemic reaction (other): Just slight itching on the arem that had injection. Mild diarrhea but if is decreasing everday.
Release 9 — day 21, dose 2
Symptoms: Congestion and headache. May not be related to injection.
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 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release