27U-13635-55703
3 vaccinations
4 coded responses
24 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 074 / NJ
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-19
Registered in v-safe
-
2021-04-19
Dose 1 — Pfizer-BioNTech
-
2021-04-19
Survey response — day 0, dose 1MedDRA: Dizziness, Hyperhidrosis — Feeling: Good · Site: Pain · Nausea · Be unable to do your normal daily activitiesFree text: Lightheadedness, sweating, felt like I might pass outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-25
- 2021-04-26
- 2021-05-03
-
2021-05-10
Dose 2 — Pfizer-BioNTech
-
2021-05-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-12
-
2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Artificial crown procedure, Dental cosmetic procedure, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Crown on tooth came off and needed to be re-cemented. Probably loosened during cleaning done prior to vaccine on Monday. · Healthcare visit (other): Dentist, not related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-06-07
Survey response — day 28, dose 2MedDRA: Vertigo — Feeling: GoodFree text: Occasional vertigo since last week. It is not severe but I will see a doctor if it continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-14
- 2021-06-21
-
2021-08-09
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a bad stomach ache and fever that lasted less than one day. Most likely caused by something I ate.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-08
-
2021-12-07
Dose 3 — Pfizer-BioNTech
-
2022-05-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-07
- 2022-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Pfizer-BioNTech | |
| 2 | 2021-05-10 | Pfizer-BioNTech | |
| 3 | 2021-12-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Lightheadedness, sweating, felt like I might pass out
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Crown on tooth came off and needed to be re-cemented. Probably loosened during cleaning done prior to vaccine on Monday.
Healthcare visit (other): Dentist, not related to vaccine.
Release 8 — day 28, dose 2
Symptoms: Occasional vertigo since last week. It is not severe but I will see a doctor if it continues.
Release 9 — 3 months, dose 2
Symptoms: I had a bad stomach ache and fever that lasted less than one day. Most likely caused by something I ate.
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 | Abdominal pain upper | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Artificial crown procedure | ✓ | · | ✓ |
| SRO | Dental cosmetic procedure | ○ | ✓ | ○ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release