3WA-23568-22801
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 61-65
- ZIP prefix
- 967 / HI
- Registered
- 2021-05-27
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Dose 1 — Pfizer-BioNTech
-
2021-05-25
Dose 2 — Pfizer-BioNTech
-
2021-05-27
Registered in v-safe
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2021-05-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · HeadacheFree text: on the day after the second shot, I was very tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
-
2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood — Feeling: Fair · HeadacheFree text: a little sad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: FairFree text: just a slight headache. it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-06-01
- 2021-06-08
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2021-06-16
Survey response — day 21, dose 2MedDRA: Hypersensitivity, Iodine allergy, Medical counselling, Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Allergic reaction to Iodine Tincture topically. I never had allergy to iodine before. Developed Rash as a result, being treated by doctor. Nothing else r manifested; sensitive all around; arm still very minimally sore, after second covid vaccine. · Healthcare visit (other): I called Poison Control hotline.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-22
Survey response — day 28, dose 2MedDRA: Ear congestion, Headache, Sinus congestion — Feeling: FairFree text: Headache upon waking, sinus and ear congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-24
- 2021-06-29
- 2021-06-29
- 2021-07-06
- 2021-08-24
- 2021-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Pfizer-BioNTech | |
| 2 | 2021-05-25 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): on the day after the second shot, I was very tired.
Systemic reaction (other): a little sad.
Systemic reaction (other): just a slight headache. it went away.
Release 9 — day 21, dose 2
Symptoms: Allergic reaction to Iodine Tincture topically. I never had allergy to iodine before. Developed Rash as a result, being treated by doctor. Nothing else r manifested; sensitive all around; arm still very minimally sore, after second covid vaccine.
Healthcare visit (other): I called Poison Control hotline.
Release 9 — day 28, dose 2
Symptoms: Headache upon waking, sinus and ear congestion.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Ear congestion | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Iodine allergy | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release