HXB-17564-88303
4 vaccinations
9 coded responses
19 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 502 / IA
- Registered
- 2021-09-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-18
Dose 1 — Pfizer-BioNTech
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2021-03-11
Dose 2 — Pfizer-BioNTech
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2021-09-04
Dose 3 — Pfizer-BioNTech
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2021-09-06
Registered in v-safe
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2021-09-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Swollen glands under both armpits.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-07
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: Pain in armpit and swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-09
- 2021-09-10
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-12-06
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2022-03-05
Survey response — 6 months, dose 3MedDRA: Ageusia, Anosmia, Brain fog, Loss of personal independence in daily activities, Mental impairment, SARS-CoV-2 test positive — 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 visitFree text: I tested positive for Covid in January. I also lost my taste and smell for two weeks. I now am struggling with not being able to think straight. It's like the worst brain fog, I had to drop my college classes.MedDRA releases: 2024-11 · check-in free text available
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2022-03-05
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-03-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-09-04
Survey response — 12 months, dose 3MedDRA: Cough, Headache, Rash — Feeling: Fair · Be unable to work or attend schoolFree text: Rash, cough, and headacheMedDRA releases: 2024-11 · check-in free text available
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2022-09-15
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-09-29
Survey response — day 14, dose 4MedDRA: Fatigue, Injection site pain, Lymphadenopathy, Oropharyngeal pain, Pyrexia, Upper-airway cough syndrome — Feeling: FairFree text: I got the shingles vaccine too and I have been tired, coughing, pain around injection site, swollen lymph nodes, low grade fever, post nasal drip, sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-06
- 2022-10-13
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2022-10-21
Survey response — day 35, dose 4MedDRA: Cough, Kidney infection, Oxygen saturation decreased, Pyrexia, Rhinorrhoea, Secretion discharge, Sputum discoloured, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, low O2 levels, fever, kidney infection, vomiting, yellow thick mucus when I blow my nose. Runny nose.MedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-24
Call successfulCompleted over the phone
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2022-10-27
Survey response — day 42, dose 4MedDRA: Nephrolithiasis, Pain, Sleep disorder — 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 · Outpatient clinic or urgent care clinic visitFree text: I had body aches so bad it kept me up all night. And I have a kidney stone working it's way through.MedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-28
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2022-12-15
Survey response — 3 months, dose 4MedDRA: Chest pain, Cough, Dyspnoea, Fatigue, Headache, Nausea, Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, Vomiting — 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 · Outpatient clinic or urgent care clinic visitFree text: I have had a headache, body aches, fatigue, vomiting, nauseousness, fever, cough, troubles breathing, runny nose, burning in chest, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-12-15
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-12-16
Call successfulDoes not wish to fill out VAERS report
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2022-12-16
Call successfulDoes not wish to fill out VAERS report
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2023-03-16
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Infection, Secretion discharge — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-16
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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | No |
| 2 | 2021-03-11 | Pfizer-BioNTech | No |
| 3 | 2021-09-04 | Pfizer-BioNTech | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | Flu |
Call center
5 call center cases
4 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen glands under both armpits.
Systemic reaction (other): Pain in armpit and swollen lymph nodes
Release 11 — 6 months, dose 3
Symptoms: I tested positive for Covid in January. I also lost my taste and smell for two weeks. I now am struggling with not being able to think straight. It's like the worst brain fog, I had to drop my college classes.
Release 12 — 12 months, dose 3
Symptoms: Rash, cough, and headache
Release 12 — day 14, dose 4
Symptoms: I got the shingles vaccine too and I have been tired, coughing, pain around injection site, swollen lymph nodes, low grade fever, post nasal drip, sore throat.
Release 12 — day 35, dose 4
Symptoms: Cough, low O2 levels, fever, kidney infection, vomiting, yellow thick mucus when I blow my nose. Runny nose.
Release 12 — day 42, dose 4
Symptoms: I had body aches so bad it kept me up all night. And I have a kidney stone working it's way through.
Release 12 — 3 months, dose 4
Symptoms: I have had a headache, body aches, fatigue, vomiting, nauseousness, fever, cough, troubles breathing, runny nose, burning in chest, sore throat
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Mental impairment | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release