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
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-27
Survey response — day 0, dose 1MedDRA: Paraesthesia oral, Pre-existing disease — Feeling: GoodFree text: Tingling lips which I get with certain food allergies. But was gone within 2 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
-
2021-02-05
Survey response — day 7, dose 1MedDRA: Nasal congestion — Feeling: PoorFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Diarrhoea, Vomiting — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Vomiting, diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-04-28
-
2021-07-28
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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
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2021-07-28
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
-
2021-09-24
Dose 3 — Pfizer-BioNTech
-
2022-01-27
Survey response — 12 months, dose 1MedDRA: 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 visitFree 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 orimaryMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-25
-
2022-09-24
Survey response — 12 months, dose 3MedDRA: Diarrhoea, Fatigue, Oropharyngeal pain, Retching, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: vomiting, diarrhea, tired, dry heaving, sore throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | No |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Tingling lips which I get with certain food allergies. But was gone within 2 hours
Release 3 — day 7, dose 1
Systemic reaction (other): Stuffy nose
Release 4 — day 14, dose 1
Symptoms: Vomiting, diarrhea
Release 9 — 6 months, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dehydration | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Kidney infection | ✓ | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pertussis | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Retching | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release