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
-
2021-03-03
Dose 1 — Pfizer-BioNTech
-
2021-03-04
Registered in v-safe
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased, Diabetes mellitus — Feeling: Good · Site: PainFree 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 itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased — Feeling: Good · Site: PainFree 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 normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech |
Free text
Release 5 — days 1–6 daily, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release