5CL-90814-19354
4 vaccinations
6 coded responses
45 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 627 / IL
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Pfizer-BioNTech
- 2021-02-05
- 2021-02-06
-
2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
-
2021-02-12
Survey response — day 7, dose 1MedDRA: Blood glucose increased, Nausea, Pre-existing disease — Feeling: Good · NauseaFree text: Only slight nausea a couple hours after I got my monthly allergy shot. Fine now. Am type 1 diabetic and noticed blood sugars running slightly higher than normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
-
2021-03-01
Dose 2 — Pfizer-BioNTech
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Tinnitus — Feeling: GoodFree text: Ringing in ears. Never been this pronounced before. Some slight dizziness in late afternoons.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Survey response — day 42, dose 2MedDRA: Blood thyroid stimulating hormone increased, Hypothyroidism, Pre-existing disease — Feeling: GoodFree text: Previously diagnosed with hypothyroid condition and have been in medication for several years. Get TSH evaluated yearly and have been in range. Recent bloodwork indicates increase in TSH at top of range. Doctor wants to wait and retest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-08-30
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
-
2021-10-30
Survey response — day 35, dose 3MedDRA: Cardiac flutter — Feeling: GoodFree text: Heart fluttering that lasts longer than before. Previously would only last a few seconds but have had 2 episodes where it lasted more like 10 to 26 seconds. Currently on low dose of Metoprolol for minor fluttering.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
-
2021-12-27
Survey response — 3 months, dose 3MedDRA: Hypergammaglobulinaemia benign monoclonal — Feeling: GoodFree text: Dianosed with MGUS (Monoclonal Gammopothy of unknown Significance). Will be monitored via bloodwork every six months. Have no symptoms of anything.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-26
-
2022-05-06
Dose 4 — Pfizer-BioNTech
- 2022-05-09
- 2022-05-10
- 2022-05-12
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-05
- 2022-06-11
- 2022-06-18
- 2022-08-05
- 2022-11-04
-
2023-05-06
Survey response — 12 months, dose 4MedDRA: Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-06
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-08
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-03-01 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
| 4 | 2022-05-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Only slight nausea a couple hours after I got my monthly allergy shot. Fine now. Am type 1 diabetic and noticed blood sugars running slightly higher than normal.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Ringing in ears. Never been this pronounced before. Some slight dizziness in late afternoons.
Release 7 — day 42, dose 2
Symptoms: Previously diagnosed with hypothyroid condition and have been in medication for several years. Get TSH evaluated yearly and have been in range. Recent bloodwork indicates increase in TSH at top of range. Doctor wants to wait and retest.
Release 10 — day 35, dose 3
Symptoms: Heart fluttering that lasts longer than before. Previously would only last a few seconds but have had 2 episodes where it lasted more like 10 to 26 seconds. Currently on low dose of Metoprolol for minor fluttering.
Release 10 — 3 months, dose 3
Symptoms: Dianosed with MGUS (Monoclonal Gammopothy of unknown Significance). Will be monitored via bloodwork every six months. Have no symptoms of anything.
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 | Blood thyroid stimulating hormone increased | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Hypergammaglobulinaemia benign monoclonal | · | · | ✓ |
| SD | Hypothyroidism | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release