3H3-99996-02387
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 283 / NC
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Pfizer-BioNTech
- 2021-01-19
- 2021-01-20
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-28
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Pfizer-BioNTech
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-04
- 2021-03-09
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Bronchitis, Office visit, Pneumonia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Bronchitis / acute pneumonia. Diagnosed March 10, 21 · Healthcare visit (other): This was 2 nd visit. First antibiotic didnt work. (b)(6) Hospital urgent careMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-25
Survey response — day 35, dose 2MedDRA: Bronchitis, Fatigue, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Still have bronchitis with white calluses or puss pockets. Now on steroids since antibiotics ended. Have been referred to an ENT doctor . I was given a quick covid test which was negative. Also waiting in throat culture to come back. always tired. · Healthcare visit (other): (b)(6) Urgent care ...part of the hospital here.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
- 2021-05-18
-
2021-08-17
Survey response — 6 months, dose 2MedDRA: Shoulder arthroplasty — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Shoulder replacementMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-17
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion
Release 5 — day 28, dose 2
Symptoms: Bronchitis / acute pneumonia. Diagnosed March 10, 21
Healthcare visit (other): This was 2 nd visit. First antibiotic didnt work. (b)(6) Hospital urgent care
redacted (b)(6)
Release 6 — day 35, dose 2
Symptoms: Still have bronchitis with white calluses or puss pockets. Now on steroids since antibiotics ended. Have been referred to an ENT doctor . I was given a quick covid test which was negative. Also waiting in throat culture to come back. always tired. cut off by CDC
Healthcare visit (other): (b)(6) Urgent care ...part of the hospital here.
redacted (b)(6)
Release 9 — 6 months, dose 2
Symptoms: Shoulder replacement
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Shoulder arthroplasty | ✓ | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release