2XL-22098-49553
1 vaccination
3 coded responses
5 check-ins
3 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 295 / SC
- Registered
- 2021-01-11
- Relationship
- Self
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Pfizer-BioNTech
- 2021-01-11
- 2021-01-12
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Poor · Headache, Fatigue or tirednessFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — day 21, dose 1MedDRA: Hospitalisation, Hydronephrosis — Feeling: Poor · Be unable to work, 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: I was hospitalized with hydronnephrosisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-01 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Congestion
Release 3 — day 21, dose 1
Symptoms: I was hospitalized with hydronnephrosis
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 |
|---|---|---|---|---|
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hydronephrosis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release