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5HH-33391-71702

3 vaccinations 6 coded responses 14 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
465 / IN
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-27
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia oral, Pre-existing disease — Feeling: Good
    Free text: Tingling lips which I get with certain food allergies. But was gone within 2 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Fatigue or tiredness
    Adult check-in
  10. 2021-02-05
    Survey response — day 7, dose 1
    MedDRA: Nasal congestion — Feeling: Poor
    Free text: Stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-12
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Vomiting, diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-17
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-28
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-07-28
    Survey response — 6 months, dose 1
    MedDRA: Dehydration, Gait disturbance, Kidney infection, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: Severe kidney infection with dehydration that actually made it difficult to walk. · Healthcare visit (other): Office visit with follow ups.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-07-28
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-08-05
  17. 2021-09-24
    Dose 3 — Pfizer-BioNTech
  18. 2022-01-27
    Survey response — 12 months, dose 1
    MedDRA: Aphonia, Asthma, Cough, Dyspnoea, Loss of consciousness, Office visit, Pertussis, Pneumonia — Feeling: Fair · 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 visit
    Free text: Symptoms: Cough, passing out from coughing at times, hard to breath. Loss of voice. Doc said started as severe adthma sttack that morohed into pneumonia and whopping cough. · Healthcare visit (other): Visit to orimary
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-01-27
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-01-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  21. 2022-03-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-09-24
    Survey response — 12 months, dose 3
    MedDRA: Diarrhoea, Fatigue, Oropharyngeal pain, Retching, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: vomiting, diarrhea, tired, dry heaving, sore throat
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Pfizer-BioNTech
22021-02-17Pfizer-BioNTech No
32021-09-24Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-27

Systemic reaction (other): Tingling lips which I get with certain food allergies. But was gone within 2 hours

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Stuffy nose

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Vomiting, diarrhea

Release 9 — 6 months, dose 1

2021-07-28

Symptoms: Severe kidney infection with dehydration that actually made it difficult to walk.
Healthcare visit (other): Office visit with follow ups.

Release 11 — 12 months, dose 1

2022-01-27

Symptoms: Cough, passing out from coughing at times, hard to breath. Loss of voice. Doc said started as severe adthma sttack that morohed into pneumonia and whopping cough.
Healthcare visit (other): Visit to orimary

Release 12 — 12 months, dose 3

2022-09-24

Symptoms: vomiting, diarrhea, tired, dry heaving, sore throat

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
HCVOOffice visit ✓ · ✓
SDAphonia · · ✓
SDAsthma · · ✓
SDCough · · ✓
SDDehydration ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDGait disturbance ✓ · ✓
SDKidney infection ✓ · ✓
SDLoss of consciousness · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain · · ✓
SDPertussis · · ✓
SDPneumonia · · ✓
SDRetching · · ✓
SDVomiting ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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