3US-10124-33066
1 vaccination
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 532 / WI
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Pfizer-BioNTech
-
2021-01-05
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: GoodFree text: Metal taste about 6 hours after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-08
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: GoodFree text: Some GI upsetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
-
2021-01-20
Survey response — day 14, dose 1MedDRA: Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion — Feeling: Fair · Be unable to workFree text: Last Tues developed sore throat, cough and sinus congestion with headaches. Received positive COVID test 1/13. Had BAM therapy 1/15.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
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2021-02-02
Survey response — day 28, dose 1MedDRA: Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion — Feeling: Fair · Be unable to workFree text: 1st vaccine on 1/5, developed sore throat & sinus congestion 1/12. Tested positive on 1/13. Had BAM infusion 1/15. Told I need to wait 90 days before I can receive 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 35, dose 1MedDRA: SARS-CoV-2 test positive — Feeling: GoodFree text: I am unable to get the 2nd shot until approx 4/15/21 because I tested positive for COVID one week after the 1st injection. Had BAM infusion due to symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Metal taste about 6 hours after shot
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Some GI upset
Release 2 — day 14, dose 1
Symptoms: Last Tues developed sore throat, cough and sinus congestion with headaches. Received positive COVID test 1/13. Had BAM therapy 1/15.
Release 3 — day 28, dose 1
Symptoms: 1st vaccine on 1/5, developed sore throat & sinus congestion 1/12. Tested positive on 1/13. Had BAM infusion 1/15. Told I need to wait 90 days before I can receive 2nd dose.
Release 3 — day 35, dose 1
Symptoms: I am unable to get the 2nd shot until approx 4/15/21 because I tested positive for COVID one week after the 1st injection. Had BAM infusion due to symptoms.
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 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release