5GP-17563-16999
1 vaccination
3 coded responses
3 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 287 / NC
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-04-20
Registered in v-safe
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2021-04-20
Survey response — day 7, dose 1MedDRA: Dehydration — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DehydrationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Had a horrible body shut down resulting from Amoxicillin for infection? I doubt however its related to the vaccine but worth mentioning I guess? Still trying to recover w/plenty of yogurt/and rest and hydration w/H2O.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Survey response — 3 months, dose 1MedDRA: Emergency care, Hypersensitivity, Limb mass — Feeling: Poor · 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 visitFree text: Allergic Reaction to some unknown household item and/or a growth on left pinky toe thought was bunion but is obviously not? Sent to ER by Ambulance (terrible service only received a prednisone injection & told to take benadryl...now N.P. wrote RX 4/PMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Report sent to call center — 3 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): Dehydration
Release 7 — day 14, dose 1
Symptoms: Had a horrible body shut down resulting from Amoxicillin for infection? I doubt however its related to the vaccine but worth mentioning I guess? Still trying to recover w/plenty of yogurt/and rest and hydration w/H2O.
Release 9 — 3 months, dose 1
Symptoms: Allergic Reaction to some unknown household item and/or a growth on left pinky toe thought was bunion but is obviously not? Sent to ER by Ambulance (terrible service only received a prednisone injection & told to take benadryl...now N.P. wrote RX 4/P cut off by CDC
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Limb mass | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release