5JZ-13649-00478
2 vaccinations
2 coded responses
20 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 711 / LA
- Registered
- 2020-12-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-15
Registered in v-safe
-
2020-12-15
Dose 1 — Pfizer-BioNTech
- 2020-12-15
- 2020-12-16
- 2020-12-17
- 2020-12-18
-
2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose decreased, Blood pressure decreased, Diabetes mellitus — Feeling: GoodFree text: I am diabetic and my blood sugar has been lower this week. I ate a double cheeseburger fries and a coke with a chocolate chip cookie because my sugar was dropping. I just took my blood sugar 2 hours after that and it is 126. It would never be that in the past. What is up with that. My blood pressure is also down 1117/71 this am and right now it was 123/71. I actually feel really good. Whats up with that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-29
-
2021-01-05
Dose 2 — Pfizer-BioNTech
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-04-08
-
2021-07-06
Survey response — 6 months, dose 2MedDRA: Blood iron decreased, Haemoglobin decreased, Office visit, Red blood cell count decreased, Thyroid mass — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My iron level and hemoglobin is low and my red blood cells are low. I am taking icar c 2 tmes a day. I have another lab test this week to check levels. I have a nodule on my thyroid gland that needs a biopsy · Healthcare visit (other): Regular doctor visit and ultrasound of thyroidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
- 2021-07-12
-
2021-07-12
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-15 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I am diabetic and my blood sugar has been lower this week. I ate a double cheeseburger fries and a coke with a chocolate chip cookie because my sugar was dropping. I just took my blood sugar 2 hours after that and it is 126. It would never be that in the past. What is up with that. My blood pressure is also down 1117/71 this am and right now it was 123/71. I actually feel really good. Whats up with that.
Release 9 — 6 months, dose 2
Symptoms: My iron level and hemoglobin is low and my red blood cells are low. I am taking icar c 2 tmes a day. I have another lab test this week to check levels. I have a nodule on my thyroid gland that needs a biopsy
Healthcare visit (other): Regular doctor visit and ultrasound of thyroid
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 | Blood iron decreased | ✓ | ✓ | ✓ |
| SD | Haemoglobin decreased | ✓ | ✓ | ✓ |
| SD | Red blood cell count decreased | ✓ | ✓ | ✓ |
| SD | Thyroid mass | ✓ | ✓ | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Blood pressure decreased | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release