3VT-11588-90991
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 463 / IN
- 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
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Pfizer-BioNTech
-
2021-02-02
Survey response — day 7, dose 2MedDRA: Chills, Headache, Injection site discomfort, Nausea, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe chills, headache, nausea 20 hrs after vaccine that lasted 3 hours then fine. Had alternated Tylenol and ibuprofen every 6 hours from injection to post 36 hours. Only slight discomfort at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Headache, Nausea, SARS-CoV-2 test negative — Feeling: GoodFree text: 5days of headache, nausea, diarrhea recentlytested negative for COVID and resolved without treatment.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-01-26
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Fatigue, Headache, Memory impairment, Oropharyngeal pain, Pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tested positive for Covid-19 on 1/5/22. Symptoms were mild at first, seemed to resolve, but then recurred in a more intense version. Still coughing to this date. Tested negative on 1/15/22. Had sore throat, HA, body aches, cough, fatigue, memory probMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Severe chills, headache, nausea 20 hrs after vaccine that lasted 3 hours then fine. Had alternated Tylenol and ibuprofen every 6 hours from injection to post 36 hours. Only slight discomfort at injection site.
Release 9 — 6 months, dose 2
Symptoms: 5days of headache, nausea, diarrhea recentlytested negative for COVID and resolved without treatment.
Release 11 — 12 months, dose 2
Symptoms: Tested positive for Covid-19 on 1/5/22. Symptoms were mild at first, seemed to resolve, but then recurred in a more intense version. Still coughing to this date. Tested negative on 1/15/22. Had sore throat, HA, body aches, cough, fatigue, memory prob cut off by CDC
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 | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release