5DW-22550-68227
1 vaccination
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 760 / TX
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Registered in v-safe
-
2021-04-30
Dose 1 — Pfizer-BioNTech
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Low appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Heart rate abnormal, Hyperhidrosis, Myalgia, Nausea, Pain in extremity, Pyrexia — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: I had a temperature last night 102.4, had sharp pain that started in my right arm then went across my chest, mild chest muscle soreness, nausea,diaphoretic, heartrate in the 120's, 02 Sat-90%, B/P-156/102. B/P and vitals are normal range now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Urticaria — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Whelp on left deltoidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-05-28
Survey response — day 28, dose 1MedDRA: Allergy to vaccine, Contrast media allergy, Immunisation reaction, Incomplete course of vaccination, Injury, Office visit, Pre-existing disease, Road traffic accident — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I was in a major car wreck on May 8th.PCP decided after my check up that I should not get the 2nd dose since I have had major trauma, severe allergic reaction to IVP dye and receive Epi, also had reaction to first dose of Pfizer not to get 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-06
Survey response — day 35, dose 1MedDRA: Hypoglycaemia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Hypoglycemic reaction not related to Pfizer vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
- 2021-08-01
- 2021-09-05
- 2021-10-30
- 2022-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Low appetite
Systemic reaction (other): I had a temperature last night 102.4, had sharp pain that started in my right arm then went across my chest, mild chest muscle soreness, nausea,diaphoretic, heartrate in the 120's, 02 Sat-90%, B/P-156/102. B/P and vitals are normal range now.
Systemic reaction (other): Whelp on left deltoid
Release 8 — day 28, dose 1
Symptoms: I was in a major car wreck on May 8th.PCP decided after my check up that I should not get the 2nd dose since I have had major trauma, severe allergic reaction to IVP dye and receive Epi, also had reaction to first dose of Pfizer not to get 2nd dose. cut off by CDC
Release 8 — day 35, dose 1
Symptoms: Hypoglycemic reaction not related to Pfizer vaccine.
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 | Allergy to vaccine | ○ | ✓ | ○ |
| SD | Contrast media allergy | ○ | ✓ | ○ |
| SD | Hypersensitivity | ○ | ○ | ○ |
| SD | Hypoglycaemia | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | · | ✓ |
| SD | Incomplete course of vaccination | ○ | ✓ | ○ |
| SD | Injury | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Road traffic accident | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Heart rate abnormal | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release