32J-91884-28315
4 vaccinations
5 coded responses
38 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 530 / WI
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-13
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Headache, Influenza, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had the flu a week ago , with gigh temp, achy body and headache.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-28
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
-
2021-10-12
Survey response — day 14, dose 3MedDRA: Bursitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: BursitisMedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-19
Survey response — day 21, dose 3MedDRA: Blindness unilateral, Bursitis, Emergency care — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Bursitis in my hip and sudden painless vision loss in my left eye. Am.being evaluated roght now in the ER.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-21
- 2021-10-22
-
2021-10-22
Callback requested for11:00AM ET
- 2021-10-28
-
2021-11-09
Survey response — day 42, dose 3MedDRA: Lyme disease, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Was diagnosed with Lyme's Disease yesterday after wekks wirth of test results were all finished. Im mostly having trouble with my vision.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-11
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Arthropathy, Hospitalisation, Lyme disease, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Diagnosed active Lyme's Disease in November. Spent a week in the hospital with IV antibiotics and steroids, but feeling much better. Have residual vision and joint issues.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-28
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-12-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-29
-
2022-09-29
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-30
- 2022-10-11
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-12
- 2022-12-29
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-29 | Pfizer-BioNTech | Flu |
Call center
4 call center cases
4 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Had the flu a week ago , with gigh temp, achy body and headache.
Release 10 — day 14, dose 3
Symptoms: Bursitis
Release 10 — day 21, dose 3
Symptoms: Bursitis in my hip and sudden painless vision loss in my left eye. Am.being evaluated roght now in the ER.
Release 10 — day 42, dose 3
Symptoms: Was diagnosed with Lyme's Disease yesterday after wekks wirth of test results were all finished. Im mostly having trouble with my vision.
Release 10 — 3 months, dose 3
Symptoms: Diagnosed active Lyme's Disease in November. Spent a week in the hospital with IV antibiotics and steroids, but feeling much better. Have residual vision and joint issues.
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 | Arthropathy | · | · | ✓ |
| SD | Blindness unilateral | · | · | ✓ |
| SD | Bursitis | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Influenza | ✓ | · | ✓ |
| SD | Lyme disease | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release