2S6-22819-02704
5 vaccinations
6 coded responses
39 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-03-30
Survey response — day 0, dose 1MedDRA: Fatigue, Headache — Feeling: Good · HeadacheFree text: Slight headache, tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-07
- 2021-04-13
-
2021-04-20
Dose 2 — Pfizer-BioNTech
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Joint painsFree text: Sort of a minor sore throat about 3 days ago... hard to tell if relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-13
- 2021-05-19
- 2021-05-25
- 2021-06-01
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2021-07-20
Survey response — 3 months, dose 2MedDRA: Contusion, Emergency care, Spontaneous haematoma — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Went to emergency room for a spontaneous hematoma in vein my left wristresolved may or may not be related first experience in my life of this kind of event ( hopefully the lastMedDRA releases: 2024-11 · check-in free text available
-
2021-07-20
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
-
2021-10-19
Survey response — 6 months, dose 2MedDRA: C-reactive protein increased, Enteritis, Faecal calprotectin increased, Heart rate increased, Office visit, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Fever, rapid heart rate, diagnosed with ileitis. Colonoscopy showed non necrotizing granuloma in small intestine where meets large intestine high CRP and cal protection, no parasites checking for latent tb, getting angiotensin and special CT s · Healthcare visit (other): Follow up with gastroenterologistMedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-21
-
2021-12-01
Dose 3 — Pfizer-BioNTech
- 2022-04-20
-
2022-05-15
Dose 4 — Pfizer-BioNTech
-
2022-09-12
Dose 5 — Pfizer-BioNTech
-
2022-09-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-09-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2022-09-15
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2022-09-16
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia — Feeling: Good · Joint painsFree text: Joint pain in shoulder, elbow wrist of arm that received vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-26
- 2022-12-12
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2023-03-15
Survey response — 6 months, dose 5MedDRA: Adverse food reaction, Arthralgia, Fatigue, Pain, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-15
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-03-16
- 2023-03-16
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-20 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-15 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Slight headache, tired
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sort of a minor sore throat about 3 days ago... hard to tell if related
Release 9 — 3 months, dose 2
Symptoms: Went to emergency room for a spontaneous hematoma in vein my left wristresolved may or may not be related first experience in my life of this kind of event ( hopefully the last
Release 10 — 6 months, dose 2
Symptoms: Fever, rapid heart rate, diagnosed with ileitis. Colonoscopy showed non necrotizing granuloma in small intestine where meets large intestine high CRP and cal protection, no parasites checking for latent tb, getting angiotensin and special CT s
Healthcare visit (other): Follow up with gastroenterologist
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Joint pain in shoulder, elbow wrist of arm that received vaccine
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 | Adverse food reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | C-reactive protein increased | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Enteritis | · | · | ✓ |
| SD | Faecal calprotectin increased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Spontaneous haematoma | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release