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3AV-13009-55884

1 vaccination 2 coded responses 7 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
546 / WI
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-03-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased, Diabetes mellitus — Feeling: Good · Site: Pain
    Free text: I am a type 1 diabetic. My shot was at 3:30 pm After dinner my blood sugar was unusually high. I treated it and it came down. At lunch time it was higher than it should have been. Still watching it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased — Feeling: Good · Site: Pain
    Free text: As a type 1 diabetic i reported a spike in blood sugar levels which stayed with me for about 36 hrs I had my shot at 3:30 pm Wednesday The spike stayed through Friday morning. Levels are back to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Pfizer-BioNTech

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): I am a type 1 diabetic. My shot was at 3:30 pm After dinner my blood sugar was unusually high. I treated it and it came down. At lunch time it was higher than it should have been. Still watching it

2021-03-05

Systemic reaction (other): As a type 1 diabetic i reported a spike in blood sugar levels which stayed with me for about 36 hrs I had my shot at 3:30 pm Wednesday The spike stayed through Friday morning. Levels are back to normal

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

FieldPreferred term2021-092023-042024-11
SROBlood glucose increased ✓ ✓ ✓
SRODiabetes mellitus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release