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3MM-28726-25387

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
910 / CA
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-01-17
    Registered in v-safe
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Diarrhoea, Pyrexia, Swollen tongue, Urticaria — Feeling: Fair · Site: Pain, Itching · Fever · Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Yes I actually entered the second dose and it didnt give me the option of changing the date I had the first dose of Pfizer on December 17 I had the second is on Wednesday, January 13 on Thursday morning I woke up with a swollen tongue a fever of 101 chills explosive diarrhea urticaria on the affected Affected arm and also on my neck and abdomen today is actually day four
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Nausea, Diarrhea, Abdominal pain
    Adult check-in
  8. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Rhinitis, Sneezing — Feeling: Good · Diarrhea
    Free text: Copious coryza and sneezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Rhinitis — Feeling: Fair
    Free text: Diarrhea. And coryza
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-10
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea, Frequent bowel movements — Feeling: Good · Be unable to work
    Free text: Frequent diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Pfizer-BioNTech
22021-01-13Pfizer-BioNTech

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Yes I actually entered the second dose and it didnt give me the option of changing the date I had the first dose of Pfizer on December 17 I had the second is on Wednesday, January 13 on Thursday morning I woke up with a swollen tongue a fever of 101 chills explosive diarrhea urticaria on the affected Affected arm and also on my neck and abdomen today is actually day four

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Copious coryza and sneezing

Release 2 — day 14, dose 1

2021-01-27

Symptoms: Diarrhea. And coryza

Release 4 — day 28, dose 2

2021-02-10

Symptoms: Frequent diarrhea

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
SDDiarrhoea ✓ ✓ ✓
SDFrequent bowel movements ✓ ✓ ✓
SDRhinitis ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinitis ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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