3FL-22282-55215
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 982 / WA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · DiarrheaFree text: I am immune compromised and have lupus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: GoodFree text: I checked my temperature when I got to work this morning at 9:00 a.m. and it read 99.8- but I also am having a lupus flare-up. Temperature has been normal prior to receiving vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Arthralgia, Headache, Pyrexia, SARS-CoV-2 test negative, Urticaria — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Broke out in hives, came down with a fever of 100.4, severe headache, and joint pain on 3/22 (either flare-up of lupus or it was related to a neutropenic fever). Today is 3/24 and I have no more fever, hives, and headache, but still have joint pain · Healthcare visit (other): Tested for COVID-19; NegativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-30
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2022-03-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I am immune compromised and have lupus.
Systemic reaction (other): I checked my temperature when I got to work this morning at 9:00 a.m. and it read 99.8- but I also am having a lupus flare-up. Temperature has been normal prior to receiving vaccination.
Release 6 — day 14, dose 1
Symptoms: Broke out in hives, came down with a fever of 100.4, severe headache, and joint pain on 3/22 (either flare-up of lupus or it was related to a neutropenic fever). Today is 3/24 and I have no more fever, hives, and headache, but still have joint pain cut off by CDC
Healthcare visit (other): Tested for COVID-19; Negative
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 | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release