2ZJ-17649-55245
4 vaccinations
5 coded responses
33 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 554 / MN
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Pfizer-BioNTech
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-01-26
Survey response — day 7, dose 1MedDRA: No adverse event, Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-09
Dose 2 — Pfizer-BioNTech
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2022-02-09
-
2022-04-10
Dose 4 — Pfizer-BioNTech
- 2022-04-22
-
2022-04-24
Survey response — day 14, dose 4MedDRA: Asthenia, Chills, Decreased appetite, Feeling cold, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: On day three after my booster I suddenly became very cold and shivering (spiked a fever), was nauseous and had no energy or appetite for the day. I spent the day in bed.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-08
-
2022-05-15
Survey response — day 35, dose 4MedDRA: Eye pruritus, Pre-existing disease, Respiratory tract congestion — Feeling: GoodFree text: Spring allergies (which I've had before) have kicked in. Includes itchy eyes and congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
-
2022-07-10
Survey response — 3 months, dose 4MedDRA: Fatigue, Malaise, Nausea, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Three days after my second booster I suddenly became very ill. I spiked a fever, became nauseous and extremely tired and spent the entire day on the couch. I was better the next day.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Survey response — 6 months, dose 4MedDRA: Aortic valve stenosis, Heart valve replacement, Malaise, Pre-existing disease, SARS-CoV-2 test negative, Transcatheter aortic valve implantation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I believe I had Covid in August - very mild and I tested negative twice. I did not see a doctor but it lasted a week I also had a heart valve replacement on 10/5. My aortic valve had severe stenosis, probably from radiation I received for breast c · Healthcare visit (other): TAVRMedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-10-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Pfizer-BioNTech | |
| 2 | 2021-02-09 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-10 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): No
Release 11 — day 14, dose 4
Symptoms: On day three after my booster I suddenly became very cold and shivering (spiked a fever), was nauseous and had no energy or appetite for the day. I spent the day in bed.
Release 11 — day 35, dose 4
Symptoms: Spring allergies (which I've had before) have kicked in. Includes itchy eyes and congestion.
Release 12 — 3 months, dose 4
Symptoms: Three days after my second booster I suddenly became very ill. I spiked a fever, became nauseous and extremely tired and spent the entire day on the couch. I was better the next day.
Release 12 — 6 months, dose 4
Symptoms: I believe I had Covid in August - very mild and I tested negative twice. I did not see a doctor but it lasted a week I also had a heart valve replacement on 10/5. My aortic valve had severe stenosis, probably from radiation I received for breast c cut off by CDC
Healthcare visit (other): TAVR
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 | Transcatheter aortic valve implantation | · | · | ✓ |
| SD | Aortic valve stenosis | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Heart valve replacement | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release