4PG-43672-52734
3 vaccinations
8 coded responses
37 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 724 / AR
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Pfizer-BioNTech
- 2021-01-14
- 2021-01-15
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Flushing, Headache, Joint injection — Feeling: GoodFree text: Received steroid injections in both knees 2/8/21 and had a reaction with flushing and some headache which was a much stronger reaction than I normally have. Will the vaccine affect the reaction to steroid medication? Better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-05-06
Survey response — 3 months, dose 2MedDRA: Bronchitis, Sinusitis — Feeling: GoodFree text: Had bout with sinusitis and bronchitis 2 weeks ago. Treated with steroids and antibiotics and better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-30
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm less sore today.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Aortic aneurysm, Coeliac artery occlusion, Gastrointestinal stromal tumour — Feeling: GoodFree text: I do have problems I didn't report. I have an aneurysm in a stomach artery, a blockage in my celiac artery and also have a Gist tumor in my stomach. Wondered if any of these are related to Covid vaccines.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-08
- 2021-10-13
- 2021-10-20
-
2021-10-27
Survey response — day 28, dose 3MedDRA: Coeliac artery occlusion, Contrast media reaction, Dry mouth, Dysphagia, Oropharyngeal pain, Vascular operation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had surgery for blockage in celiac artery. Completely blocked so stent couldn't be done. Had reaction to dye and have sore throat from trouble swallowing and dry mouth during surgery. Better today.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
-
2021-12-29
Survey response — 3 months, dose 3MedDRA: Aneurysm repair, Coeliac artery occlusion — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Duodenum aneurysm repair 12/14/21 and celiac blockage of artery unsuccessful attempts to stent 10/26/21.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-29
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-04
-
2022-03-30
Survey response — 6 months, dose 3MedDRA: Computerised tomogram abnormal, Emergency care, Gastric neoplasm, Post procedural haemorrhage, Tumour excision — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tumor in my stomach. Having removed 5/31/22. Found on ct scan last summer. · Healthcare visit (other): Biopsy with bleeding following biopsy that I had to go to ER for.MedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-31
-
2022-09-29
Survey response — 12 months, dose 3MedDRA: Bronchitis, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: July 22 had Covid 9:24/22 started bronchitis. Neg. Covid and strep. 3/31/22 Gist stomach cancer removed.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-30
- 2022-09-30
- 2022-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Received steroid injections in both knees 2/8/21 and had a reaction with flushing and some headache which was a much stronger reaction than I normally have. Will the vaccine affect the reaction to steroid medication? Better today.
Release 8 — 3 months, dose 2
Symptoms: Had bout with sinusitis and bronchitis 2 weeks ago. Treated with steroids and antibiotics and better now.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Arm less sore today.
Systemic reaction (other): I do have problems I didn't report. I have an aneurysm in a stomach artery, a blockage in my celiac artery and also have a Gist tumor in my stomach. Wondered if any of these are related to Covid vaccines.
Release 10 — day 28, dose 3
Symptoms: Had surgery for blockage in celiac artery. Completely blocked so stent couldn't be done. Had reaction to dye and have sore throat from trouble swallowing and dry mouth during surgery. Better today.
Release 10 — 3 months, dose 3
Symptoms: Duodenum aneurysm repair 12/14/21 and celiac blockage of artery unsuccessful attempts to stent 10/26/21.
Release 11 — 6 months, dose 3
Symptoms: Tumor in my stomach. Having removed 5/31/22. Found on ct scan last summer.
Healthcare visit (other): Biopsy with bleeding following biopsy that I had to go to ER for.
Release 12 — 12 months, dose 3
Symptoms: July 22 had Covid 9:24/22 started bronchitis. Neg. Covid and strep. 3/31/22 Gist stomach cancer removed.
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 | Emergency care | · | · | ✓ |
| HCVO | Post procedural haemorrhage | · | · | ✓ |
| SD | Aneurysm repair | · | · | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Coeliac artery occlusion | · | · | ✓ |
| SD | Computerised tomogram abnormal | · | · | ✓ |
| SD | Contrast media reaction | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Gastric neoplasm | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Tumour excision | · | · | ✓ |
| SD | Vascular operation | · | · | ✓ |
| SRO | Aortic aneurysm | · | · | ✓ |
| SRO | Coeliac artery occlusion | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal stromal tumour | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Joint injection | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release