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5BZ-30390-27546

5 vaccinations 3 coded responses 35 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
974 / OR
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-06
    Survey response — day 0, dose 1
    MedDRA: Chest discomfort, Dyspnoea, Flushing, Heart rate increased, Immediate post-injection reaction, Oropharyngeal discomfort, Rash, Self-medication — Feeling: Fair
    Free text: I took Benadryl the first 30 minutes because started feeling reaction. Then took off 2nd mask to breathe easier. Thought it might be anxiety. When went in house my face was flushed. I felt tightness in my chest and throat and didnt feel right so took a Zyrtec. I felt rash bumps coming on my chest. Quickly I felt better after Zyrtec. My FitBit Heart rate showed it went from 57 to 182 per minute
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-28
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-28
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-26
    Survey response — 6 months, dose 2
    MedDRA: Emergency care, Small intestine operation — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization
    Free text: Small intestine emergency surgery
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-26
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  28. 2021-09-29
  29. 2021-10-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-03-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-04-06
    Dose 3 — Pfizer-BioNTech
  32. 2022-04-20
    Dose 4 — Pfizer-BioNTech
  33. 2022-04-20
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-04-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-21
    Dose 5 — Pfizer-BioNTech
  43. 2022-10-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2023-04-21
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Pfizer-BioNTech
22021-03-28Pfizer-BioNTech
32022-04-06Pfizer-BioNTech No
42022-04-20Pfizer-BioNTech No
52022-10-21Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): I took Benadryl the first 30 minutes because started feeling reaction. Then took off 2nd mask to breathe easier. Thought it might be anxiety. When went in house my face was flushed. I felt tightness in my chest and throat and didnt feel right so took a Zyrtec. I felt rash bumps coming on my chest. Quickly I felt better after Zyrtec. My FitBit Heart rate showed it went from 57 to 182 per minute

Release 9 — 6 months, dose 2

2021-09-26

Symptoms: Small intestine emergency surgery

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): No

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
SDEmergency care · · ✓
SDSmall intestine operation · · ✓
SROChest discomfort ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONo adverse event · · ✓
SROOropharyngeal discomfort ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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