27K-18927-13988
4 vaccinations
6 coded responses
39 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Registered in v-safe
-
2021-02-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-23
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-05-25
-
2021-08-19
Dose 3 — Pfizer-BioNTech
-
2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-08-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-08-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-08-23
-
2021-08-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-08-25
- 2021-08-26
- 2021-09-02
- 2021-09-09
- 2021-09-16
-
2021-09-23
Survey response — day 35, dose 3MedDRA: Blood pressure increased, Dizziness, Fatigue, Headache, Sensory disturbance, Unevaluable event — Feeling: Fair · 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 visitFree text: Symptoms: Light headedness, increased blood pressure, fatigue, headache, unusual chest and neck sensations · Healthcare visit (other): Blood work scheduled for tomorrowMedDRA releases: 2024-11 · check-in free text available
-
2021-09-23
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-27
-
2021-09-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-09-30
-
2021-11-18
Survey response — 3 months, dose 3MedDRA: Appendicectomy, Appendicitis, Appendicitis perforated, Clostridium difficile infection, Complicated appendicitis, Laparoscopic surgery, Medical counselling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Acute appendicitis resulting in laparoscopic appendectomy with a diagnosis of gangrenous perforated appendix. Subsequently was diagnosed with c-dif after being treated with IV. Received 2 courses of Vancomycin for recurrent c-dif. · Healthcare visit (other): Skilled nursing in a facility.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-19
- 2022-02-17
-
2022-07-31
Dose 4 — Pfizer-BioNTech
- 2022-07-31
-
2022-08-01
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Brief slight headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-08-02
Survey response — days 1–6 daily, dose 4MedDRA: Nausea, Pain — Feeling: Good · Site: Pain · HeadacheFree text: Mild body aches and some nausea yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-06
- 2022-08-07
- 2022-08-14
- 2022-08-21
- 2022-08-28
-
2022-09-04
Survey response — day 35, dose 4MedDRA: COVID-19, Decreased appetite, Diarrhoea, Dizziness, Dysgeusia, Faeces discoloured, Fatigue, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Positive for Covid on 8/29. On Paxlovid. Have taken 6 doses. No fever currently. Loss of appetite. Bad taste in mouth. Bad fatigue. Headache and body aches initially. Some loose yellow/green stools. Some lightheadedness.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-11
Survey response — day 42, dose 4MedDRA: Decreased appetite, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Some nausea and extreme fatigue. Appetite is badMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2023-01-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | No |
| 3 | 2021-08-19 | Pfizer-BioNTech | No |
| 4 | 2022-07-31 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — day 35, dose 3
Symptoms: Light headedness, increased blood pressure, fatigue, headache, unusual chest and neck sensations
Healthcare visit (other): Blood work scheduled for tomorrow
Release 10 — 3 months, dose 3
Symptoms: Acute appendicitis resulting in laparoscopic appendectomy with a diagnosis of gangrenous perforated appendix. Subsequently was diagnosed with c-dif after being treated with IV. Received 2 courses of Vancomycin for recurrent c-dif.
Healthcare visit (other): Skilled nursing in a facility.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Brief slight headache
Systemic reaction (other): Mild body aches and some nausea yesterday
Release 12 — day 35, dose 4
Symptoms: Positive for Covid on 8/29. On Paxlovid. Have taken 6 doses. No fever currently. Loss of appetite. Bad taste in mouth. Bad fatigue. Headache and body aches initially. Some loose yellow/green stools. Some lightheadedness.
Release 12 — day 42, dose 4
Symptoms: Some nausea and extreme fatigue. Appetite is bad
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 | Medical counselling | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Appendicectomy | · | · | ✓ |
| SD | Appendicitis | · | · | ✓ |
| SD | Appendicitis perforated | · | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Clostridium difficile infection | · | · | ✓ |
| SD | Complicated appendicitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Faeces discoloured | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Laparoscopic surgery | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release