2GM-11503-79888
1 vaccination
3 coded responses
3 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 076 / NJ
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-09
Registered in v-safe
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Endoscopy, Gastrooesophageal reflux disease, Insomnia, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Since day of shot, severe GERD. NEVER HAD IT BEFORE in my 70 years. Has not let up at all. · Healthcare visit (other): Though extremely difficult, ive decided to wait a few more days to see if it will let up. Then upper endoscopy. Not able to sleep. ALSO, the day of the shot, my fingers swelled on both hands. Was unable to take my rings off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Gastrooesophageal reflux disease, Insomnia, Unevaluable event — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Unable to sleep. Terrible GERD all day and night since shot. Never had it before. · Healthcare visit (other): Only appt. Available is for next Monday, March 15.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — day 7, dose 1MedDRA: Gastrooesophageal reflux disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): GERD · Healthcare visit (other): GP NEXT MON.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Since day of shot, severe GERD. NEVER HAD IT BEFORE in my 70 years. Has not let up at all.
Healthcare visit (other): Though extremely difficult, ive decided to wait a few more days to see if it will let up. Then upper endoscopy. Not able to sleep. ALSO, the day of the shot, my fingers swelled on both hands. Was unable to take my rings off.
Systemic reaction (other): Unable to sleep. Terrible GERD all day and night since shot. Never had it before.
Healthcare visit (other): Only appt. Available is for next Monday, March 15.
Release 5 — day 7, dose 1
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 | Endoscopy | ✓ | ✓ | ✓ |
| HCVO | Insomnia | ✓ | ✓ | ✓ |
| HCVO | Peripheral swelling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release