568-18910-60651
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 475 / IN
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-02-12
Registered in v-safe
- 2021-02-12
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · NauseaFree text: But i feel it was from my slight vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Sensitivity to weather change, Sinus congestion — Feeling: Good · Headache, NauseaFree text: I feel symptoms are from sinus, drastic temp change, anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — day 7, dose 2MedDRA: Adverse reaction, Irritable bowel syndrome, Pre-existing disease — Feeling: Good · Abdominal painFree text: Yuckiness in morn and in late afternoon, but probably my IBSMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 14, dose 2MedDRA: Headache, Irritability, Malaise, Retching — Feeling: GoodFree text: Dry heaves; yuchy feeling...one day; slight headache one day. Very tired and irritable one day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Amnesia — Feeling: FairFree text: Memory lossMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-17
Survey response — 12 months, dose 2MedDRA: Labyrinthitis, Middle ear effusion, Office visit, Paranasal sinus hypersecretion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had an inner ear infection, and then fluid in the inner ear, sinus drainage from crazy weather drastic changes. · Healthcare visit (other): Followed up with drMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): But i feel it was from my slight vertigo
Systemic reaction (other): I feel symptoms are from sinus, drastic temp change, anxiety
Release 4 — day 7, dose 2
Systemic reaction (other): Yuckiness in morn and in late afternoon, but probably my IBS
Release 4 — day 14, dose 2
Symptoms: Dry heaves; yuchy feeling...one day; slight headache one day. Very tired and irritable one day.
Release 9 — 6 months, dose 2
Symptoms: Memory loss
Release 11 — 12 months, dose 2
Symptoms: I had an inner ear infection, and then fluid in the inner ear, sinus drainage from crazy weather drastic changes.
Healthcare visit (other): Followed up with dr
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 | Office visit | · | · | ✓ |
| SD | Amnesia | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Labyrinthitis | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Retching | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Irritable bowel syndrome | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release