4UF-13095-36892
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 967 / HI
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-27
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-06
- 2021-02-08
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 2MedDRA: Adverse reaction, Self-medication — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I had a reaction to my most recent allergy shot. I don't know that this was related to the covid vaccine but it was a significant reaction. · Healthcare visit (other): ER was recommended but I did not end up going because the 2nd benadryl and albuterol controlled symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Cough, Emergency care, Enterobiasis, Kidney infection, Malaise, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Cough, pinworms, kidney infection · Healthcare visit (other): Went to ED for cough and fever. They found kidney infection. Treated with antibiotics. Still feel sick and still coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2021-08-09
Call successfulDoes not wish to fill out VAERS report
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 14, dose 2
Symptoms: I had a reaction to my most recent allergy shot. I don't know that this was related to the covid vaccine but it was a significant reaction.
Healthcare visit (other): ER was recommended but I did not end up going because the 2nd benadryl and albuterol controlled symptoms
Release 8 — 3 months, dose 2
Symptoms: Cough, pinworms, kidney infection
Healthcare visit (other): Went to ED for cough and fever. They found kidney infection. Treated with antibiotics. Still feel sick and still coughing.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| HCVO | Cough | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Kidney infection | ✓ | ✓ | ✓ |
| HCVO | Malaise | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Enterobiasis | ✓ | ✓ | ✓ |
| SD | Kidney infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release