2ZA-43809-14205
5 vaccinations
5 coded responses
42 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 144 / NY
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
-
2021-01-31
Dose 2 — Pfizer-BioNTech
-
2021-01-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-05-02
- 2021-08-01
-
2021-08-21
Dose 3 — Pfizer-BioNTech
- 2021-08-21
-
2021-08-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, DiarrheaAdult check-in
- 2021-08-23
- 2021-08-25
- 2021-08-26
- 2021-08-28
- 2021-09-04
- 2021-09-11
-
2021-09-18
Survey response — day 28, dose 3MedDRA: Colitis ulcerative, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Beginning of autoimmune disease flare. (Ulcerative colitis, non-axial spondylitis) Medication hasnt been working well in a while-long before 3rd dose of Pfizer. This flare has been a long time coming.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-25
Survey response — day 35, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe flare of preexisting autoimmune diseaseMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — day 42, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Autoimmune flare. Am switching meds-just waiting on that prior authMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-08
-
2021-10-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-20
- 2022-02-20
-
2022-04-06
Dose 4 — Pfizer-BioNTech
- 2022-08-23
-
2022-09-23
Dose 5 — ModernaCo-administered: Flu
-
2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tirednessAdult check-in
-
2022-09-25
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-02
- 2022-10-07
- 2022-10-14
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2022-10-21
Survey response — day 28, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: A cold that felt very Covid-y but I tested negative repeatedly (rapid-did not get a PCR)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-12-23
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2023-03-24
Survey response — 6 months, dose 5MedDRA: Condition aggravated, Malaise, Pre-existing disease, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-24
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Pfizer-BioNTech | |
| 2 | 2021-01-31 | Pfizer-BioNTech | |
| 3 | 2021-08-21 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Moderna | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — day 28, dose 3
Symptoms: Beginning of autoimmune disease flare. (Ulcerative colitis, non-axial spondylitis) Medication hasnt been working well in a while-long before 3rd dose of Pfizer. This flare has been a long time coming.
Release 9 — day 35, dose 3
Symptoms: Severe flare of preexisting autoimmune disease
Release 9 — day 42, dose 3
Symptoms: Autoimmune flare. Am switching meds-just waiting on that prior auth
Release 12 — day 28, dose 5
Symptoms: A cold that felt very Covid-y but I tested negative repeatedly (rapid-did not get a PCR)
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 | Colitis ulcerative | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release