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4YM-11502-35578

1 vaccination 4 coded responses 6 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
051 / VT
Registered
2021-02-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Died per free text

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Nausea, Vomiting — Feeling: Fair · Chills, Headache, Nausea, Vomiting
    Free text: Mom is on hospice, she regularly has nausea and vomiting from ascites. The symptoms I reported for her are typical except the headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Hospice care — Feeling: Fair · Fatigue or tiredness
    Free text: Mom is a hospice patient. Fatigue is a normal party if how she feels.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Hospice care, Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Nausea, Vomiting
    Free text: Mom is battling these symptoms in connection with her terminal cancer diagnosis. She is on hospice..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-08-07
    Survey response — 6 months, dose 1
    MedDRA: Death, Hospice care, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Evelyn passed away on Feb 22nd from ovarian cancer. She was already in hospice when she got the vaccine. I'll answer these questions as best I can for her. · Healthcare visit (other): Hospice
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-07
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  10. 2021-11-24

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): Mom is on hospice, she regularly has nausea and vomiting from ascites. The symptoms I reported for her are typical except the headache.

2021-02-09

Systemic reaction (other): Mom is a hospice patient. Fatigue is a normal party if how she feels.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Mom is battling these symptoms in connection with her terminal cancer diagnosis. She is on hospice..

Release 9 — 6 months, dose 1

Reports this person's death

2021-08-07

Symptoms: Evelyn passed away on Feb 22nd from ovarian cancer. She was already in hospice when she got the vaccine. I'll answer these questions as best I can for her.
Healthcare visit (other): Hospice

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
HCVOHospice care ✓ · ✓
SDDeath ✓ · ✓
SDPre-existing disease ✓ · ✓
SROAdverse reaction ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHospice care ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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