3XE-25451-08610
1 vaccination
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 074 / NJ
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-03
Registered in v-safe
-
2021-05-03
Dose 1 — Pfizer-BioNTech
- 2021-05-03
-
2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Pre-existing disease, Sensitivity to weather change — Feeling: Good · Site: Pain · HeadacheFree text: I get migraine headaches depending on the weather. I don't think it's from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-06
- 2021-05-07
-
2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased, Dialysis, Emergency care, Haematological infection, Hospitalisation, Pleural effusion, Pneumonia, Staphylococcal infection — Feeling: Fair · ChillsFree text: My husband,(b)(6) reported to his v-safe on Thursday that he was in the hospital and had pneumonia. He is in the hospital, but he has a blood infection. The ER doctor told us pneumonia on Wednesday evening because of the chest X-ray. He had a Cat scan on Thursday and had pleural effusion. He has a Staphylococcus infection in the blood probably from dialysis. He did have a 105 temp. Wanted to let you know because he didn't get any check-in yesterday. It wasn't from the vaccine. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-03
- 2021-11-01
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Pfizer-BioNTech |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): I get migraine headaches depending on the weather. I don't think it's from the vaccine.
Systemic reaction (other): My husband,(b)(6) reported to his v-safe on Thursday that he was in the hospital and had pneumonia. He is in the hospital, but he has a blood infection. The ER doctor told us pneumonia on Wednesday evening because of the chest X-ray. He had a Cat scan on Thursday and had pleural effusion. He has a Staphylococcus infection in the blood probably from dialysis. He did have a 105 temp. Wanted to let you know because he didn't get any check-in yesterday. It wasn't from the vaccine. Thank you.
redacted (b)(6)
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 |
|---|---|---|---|---|
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Dialysis | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Haematological infection | ✓ | ✓ | ✓ |
| SRO | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pleural effusion | ✓ | ✓ | ✓ |
| SRO | Pneumonia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SRO | Staphylococcal infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release