4YM-13837-20470
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Registered in v-safe
-
2021-03-14
Dose 1 — Pfizer-BioNTech
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Urinary tract infection — Feeling: Fair · Site: PainFree text: Developed a UTI - I am probe to them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
-
2021-03-30
Survey response — day 14, dose 1MedDRA: Nasopharyngitis — Feeling: FairFree text: Minor cold symptoms - occasional low grade fever 99 - 100. Babysat granddaughter with cold symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 21, dose 1MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: FairFree text: Continue to feel run down, sore throat, cough. Believe its due to allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Dose 2 — Pfizer-BioNTech
-
2021-04-18
Survey response — day 7, dose 2MedDRA: Pain, Pyrexia — Feeling: GoodFree text: I want to report that I had a reaction to my second shot but your system wouldnt let me do that in the last check in. I had 12 hours of fever and aches and pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2022-04-07
Survey response — 12 months, dose 2MedDRA: Sinus disorder, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus issues - diagnosed with sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Developed a UTI - I am probe to them.
Release 6 — day 14, dose 1
Symptoms: Minor cold symptoms - occasional low grade fever 99 - 100. Babysat granddaughter with cold symptoms.
Release 6 — day 21, dose 1
Symptoms: Continue to feel run down, sore throat, cough. Believe its due to allergies.
Release 7 — day 7, dose 2
Systemic reaction (other): I want to report that I had a reaction to my second shot but your system wouldnt let me do that in the last check in. I had 12 hours of fever and aches and pains.
Release 11 — 12 months, dose 2
Symptoms: Sinus issues - diagnosed with sinus infection
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 | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release