2T2-20357-11290
4 vaccinations
3 coded responses
28 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 107 / NY
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Pfizer-BioNTech
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
-
2021-04-07
Survey response — day 21, dose 2MedDRA: Arthropod bite, Rash, Rash pruritic, Urticaria — Feeling: GoodFree text: Rash or bug bites along both arms and legs. Itchy. Last night the looked like welts. Lotion made the itchiness worse. Today they look more like bug bites and I had been at the (b)(6) on Sunday. Otherwise I feel fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-10-31
Dose 3 — Pfizer-BioNTech
-
2022-03-17
Survey response — 12 months, dose 2MedDRA: Cough, Dehydration, Office visit, Rhinorrhoea, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Constant runny nose. Cough. Weight loss of 15 pounds · Healthcare visit (other): Visited regular internist for blood tests. Diagnosed as dehydrated. Will be seeing digestive specialist to determine if the is a reason I may not be absorbing nutrients from mealsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-17
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-21
-
2022-03-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-03
-
2022-05-22
Dose 4 — Pfizer-BioNTech
- 2022-11-20
-
2023-05-22
Survey response — 12 months, dose 4MedDRA: Cholecystectomy, Gallbladder rupture, Infection, Office visit, Pneumothorax — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-05-22
Call case (no matching report) — SuccessfulDoes not wish to fill out VAERS report
- 2023-05-23
-
2023-05-25
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-31 | Pfizer-BioNTech | No |
| 4 | 2022-05-22 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 21, dose 2
Symptoms: Rash or bug bites along both arms and legs. Itchy. Last night the looked like welts. Lotion made the itchiness worse. Today they look more like bug bites and I had been at the (b)(6) on Sunday. Otherwise I feel fine.
redacted (b)(6)
Release 11 — 12 months, dose 2
Symptoms: Constant runny nose. Cough. Weight loss of 15 pounds
Healthcare visit (other): Visited regular internist for blood tests. Diagnosed as dehydrated. Will be seeing digestive specialist to determine if the is a reason I may not be absorbing nutrients from meals
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 | Dehydration | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthropod bite | ✓ | ✓ | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gallbladder rupture | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Pneumothorax | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release