39X-17071-64324
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 564 / MN
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Pfizer-BioNTech
-
2021-04-22
Survey response — day 0, dose 1MedDRA: Hypersensitivity — Feeling: Good · HeadacheFree text: Could be allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Dyspepsia, Nausea — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal painFree text: Pretty severe heartburn (actually for last several days) however I am not sure that the stomach pain, heartburn & the nausea are related to the shot. I have decided to include it for your information.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Abdominal painAdult check-in
- 2021-05-01
- 2021-05-06
- 2021-05-13
-
2021-05-14
Dose 2 — Pfizer-BioNTech
- 2021-05-20
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-27
-
2022-05-15
Survey response — 12 months, dose 2MedDRA: Ear pain, Headache, Lymphadenopathy, Mass, Office visit, Oropharyngeal pain, Tenderness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Two Swollen Glands under jaw. 1 on each side..continuos sore throat daily..since last fall. Headaches/earaches daily. The lumps are VERY painfull to touch. · Healthcare visit (other): Went to the doctor and she just Shrugged prescribed antacid.. refused to feel the lumps!MedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Pfizer-BioNTech | |
| 2 | 2021-05-14 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Could be allergies.
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Pretty severe heartburn (actually for last several days) however I am not sure that the stomach pain, heartburn & the nausea are related to the shot. I have decided to include it for your information.
Release 11 — 12 months, dose 2
Symptoms: Two Swollen Glands under jaw. 1 on each side..continuos sore throat daily..since last fall. Headaches/earaches daily. The lumps are VERY painfull to touch.
Healthcare visit (other): Went to the doctor and she just Shrugged prescribed antacid.. refused to feel the lumps!
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 | Mass | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release