428-23121-83503
4 vaccinations
5 coded responses
34 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 601 / IL
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Pfizer-BioNTech
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature abnormal — Feeling: Fair · Fever · Fatigue or tirednessFree text: Only about half a day. Temp back to normal by afternoon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-14
- 2021-02-15
- 2021-02-18
- 2021-02-23
-
2021-03-02
Dose 2 — Pfizer-BioNTech
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-06
- 2021-03-08
- 2021-03-11
- 2021-03-16
-
2021-03-23
Survey response — day 21, dose 2MedDRA: Chills, Fatigue, Pyrexia — Feeling: GoodFree text: Had a slight fever Monday morning. Was chilled Sunday night. Tired on Monday. Today, Tuesday, all back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Cough, Pyrexia, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe cough, occasional fever, stuffy head, sneezingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-05
Dose 3 — Pfizer-BioNTech
-
2022-03-03
Survey response — 12 months, dose 2MedDRA: Ageusia, Anosmia, Body temperature increased, Feeling cold, Pain, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: Occasional bouts of low grade fever. Only lasts under 24 hours. Temp a little over 100, but includes shakes, achyness, and can't get warm. Also have lost my sense of taste and smell since last six months.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-07
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
- 2022-10-11
-
2023-04-12
Survey response — 12 months, dose 4MedDRA: Acne, Ageusia, Anosmia, Fungal infection, Localised infection, Rectal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-12
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-13
-
2023-04-13
Callback requested for05:00PM ET
-
2023-04-13
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-02 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Only about half a day. Temp back to normal by afternoon.
Release 6 — day 21, dose 2
Symptoms: Had a slight fever Monday morning. Was chilled Sunday night. Tired on Monday. Today, Tuesday, all back to normal.
Release 9 — 6 months, dose 2
Symptoms: Severe cough, occasional fever, stuffy head, sneezing
Release 11 — 12 months, dose 2
Symptoms: Occasional bouts of low grade fever. Only lasts under 24 hours. Temp a little over 100, but includes shakes, achyness, and can't get warm. Also have lost my sense of taste and smell since last six months.
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 | Acne | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Fungal infection | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rectal haemorrhage | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Body temperature abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release