272-14088-81404
2 vaccinations
6 coded responses
29 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 836 / ID
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Pfizer-BioNTech
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: PainFree text: I would like to report that the injection site has a perfect 1 inch on all sides triangle of black and blue. I would like to send you a picture of this but I wouldnt know how. Its very strange looking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Injection site paraesthesia — Feeling: Good · Fever · Fatigue or tirednessFree text: Just the strange triangle at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
-
2021-03-27
Survey response — day 21, dose 1MedDRA: Abdominal pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I have had abdominal pain that they think might be gallbladder. I have a referral to get an ultrasound so I did not get my vaccine today three but I will rescheduleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-04
-
2021-04-10
Survey response — day 35, dose 1MedDRA: Muscle spasms — Feeling: FairFree text: Hand spasmsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-06-05
-
2021-08-05
Dose 2 — Pfizer-BioNTech
- 2021-08-05
- 2021-08-06
-
2021-08-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-08
- 2021-08-09
-
2021-08-10
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Fatigue or tirednessFree text: No appetiteMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Fatigue or tirednessFree text: Still no appetite since yesterdayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-12
- 2021-08-19
- 2021-08-26
- 2021-09-02
- 2021-09-09
- 2021-09-16
- 2021-11-02
- 2021-11-04
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-08-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I would like to report that the injection site has a perfect 1 inch on all sides triangle of black and blue. I would like to send you a picture of this but I wouldnt know how. Its very strange looking.
Systemic reaction (other): Just the strange triangle at the injection site
Release 6 — day 21, dose 1
Symptoms: I have had abdominal pain that they think might be gallbladder. I have a referral to get an ultrasound so I did not get my vaccine today three but I will reschedule
Release 7 — day 35, dose 1
Symptoms: Hand spasms
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): No appetite
Systemic reaction (other): Still no appetite since yesterday
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release