4TX-24630-04168
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 782 / TX
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Pfizer-BioNTech
-
2021-03-18
Registered in v-safe
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2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Confusional state, Disorientation, Pre-existing disease — Feeling: GoodFree text: Joyce has Alzheimers so not sure if its related to the vaccine but she has been more confused and disoriented since receiving the vaccine yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Confusional state, Disorientation — Feeling: GoodFree text: Disorientation and confusion experienced after the vaccine is less evident today!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-08
-
2021-04-14
Dose 2 — Pfizer-BioNTech
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
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2021-10-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu:Pneumonia:Shingles:Tetanus
- 2021-10-13
-
2021-10-14
Survey response — day 7, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Sore arm for a couple of days after the vaccine was givenMedDRA releases: 2024-11 · check-in free text available
- 2021-10-16
- 2021-10-23
- 2021-11-01
- 2021-11-06
- 2021-11-13
- 2022-01-01
-
2022-04-02
Survey response — 6 months, dose 3MedDRA: Death — Feeling: FairFree text: (b)(6) passed away in February from natural causes. Very thankful to the vaccine for keeping her safe from COVID-19 while she was alive!!MedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Survey response — 12 months, dose 3MedDRA: Death — Feeling: PoorFree text: Please note my mother (b)(6) passed away on 2/2/22 of natural causes.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | Flu:Pneumonia:Shingles:Tetanus |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Joyce has Alzheimers so not sure if its related to the vaccine but she has been more confused and disoriented since receiving the vaccine yesterday.
Systemic reaction (other): Disorientation and confusion experienced after the vaccine is less evident today!
Release 10 — day 7, dose 3
Systemic reaction (other): Sore arm for a couple of days after the vaccine was given
Release 11 — 6 months, dose 3
Reports this person's death
Symptoms: (b)(6) passed away in February from natural causes. Very thankful to the vaccine for keeping her safe from COVID-19 while she was alive!!
redacted (b)(6)
Release 12 — 12 months, dose 3
Reports this person's death
Symptoms: Please note my mother (b)(6) passed away on 2/2/22 of natural causes.
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 |
|---|---|---|---|---|
| SD | Death | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release