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48S-17278-16741

1 vaccination 8 coded responses 10 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
954 / CA
Registered
2021-05-21
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-21
    Registered in v-safe
  3. 2021-05-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-05-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Fatigue or tiredness
    Free text: Slight cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthma, Pre-existing disease, Wheezing — Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Im an asmatic. Asthma severe today, needed to use albuterol inhaler twice. Usually do not need albuterol inhaler.had to rest all day. Im usually very active! Wheezing throughout day. Not usual for me!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Lung disorder, Pre-existing disease — Feeling: Fair
    Free text: Lungs,seem a bit better today. Continue to feel " raspy" in chest. No Asthma attack, today. Used only long term daily inhaler (Asthmanex), no rescue inhaler(Albuterol) .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-06-09
    Survey response — day 21, dose 1
    MedDRA: Back pain, Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back pain, slight dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-16
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Pain — Feeling: Fair
    Free text: Fatigue, body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-30
    Survey response — day 42, dose 1
    MedDRA: Asthma, Fatigue, Pre-existing disease — Feeling: Fair
    Free text: -Increased need to use Albuterol rescue inhaler for Asthma symptoms. Usual use of inhaler befor vaccine 1-2x per month. Since vaccine, Asthma symptoms increased to necessitate use of rescue inhaler 3-4x per week.-Increased fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2022-05-25
    Survey response — 12 months, dose 1
    MedDRA: Colectomy, Colostomy, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Surgery April 15, 2022 Sigmoid resection Hartman's pouch.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-05-25
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  14. 2022-05-25

Vaccinations

DoseDateManufacturerCo-administered
12021-05-19Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-21

Systemic reaction (other): Tiredness

2021-05-23

Systemic reaction (other): Slight cough

2021-05-24

Systemic reaction (other): Im an asmatic. Asthma severe today, needed to use albuterol inhaler twice. Usually do not need albuterol inhaler.had to rest all day. Im usually very active! Wheezing throughout day. Not usual for me!!

2021-05-25

Systemic reaction (other): Lungs,seem a bit better today. Continue to feel " raspy" in chest. No Asthma attack, today. Used only long term daily inhaler (Asthmanex), no rescue inhaler(Albuterol) .

Release 9 — day 21, dose 1

2021-06-09

Symptoms: Back pain, slight dizziness.

Release 9 — day 28, dose 1

2021-06-16

Symptoms: Fatigue, body aches

Release 9 — day 42, dose 1

2021-06-30

Symptoms: -Increased need to use Albuterol rescue inhaler for Asthma symptoms. Usual use of inhaler befor vaccine 1-2x per month. Since vaccine, Asthma symptoms increased to necessitate use of rescue inhaler 3-4x per week.-Increased fatigue.

Release 11 — 12 months, dose 1

2022-05-25

Symptoms: Surgery April 15, 2022 Sigmoid resection Hartman's pouch.

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

FieldPreferred term2021-092023-042024-11
SDAsthma ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDColectomy · · ✓
SDColostomy · · ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSurgery · · ✓
SROAsthma ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROLung disorder ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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