5MB-31957-28474
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
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2021-02-01
Dose 1 — Pfizer-BioNTech
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2021-02-23
Registered in v-safe
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2021-02-23
Dose 2 — Pfizer-BioNTech
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2021-02-23
Survey response — day 0, dose 2MedDRA: Injection site hypersensitivity, Pre-existing disease — Feeling: Good · Headache, Nausea, VomitingFree text: I had an allergic reaction to the second shot which was caught at the site before I was able to leave. I also want to mention I have a bleeding disorder so the last time I got my shot I had break through bleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Dizziness, Intermenstrual bleeding, Memory impairment — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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 visitFree text: Yes, dizzniess vaginally break through bleeding anxiety and memory issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Report sent to call center — days 1–6 daily, dose 2Be 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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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Waiting for march 2 apptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Report sent to call center — days 1–6 daily, dose 2Be 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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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Headache · Be unable to workAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-16
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2021-08-24
Survey response — 6 months, dose 2MedDRA: COVID-19, Cough, Ear pain, Eye pruritus, Headache, Lacrimation increased, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Started with headache then earache then runny nose itchy watery eyes lots of congestion and sneezing with a sore throat and cough I got covid-19/Delta.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — 6 months, dose 2Be 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)
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2021-08-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): I had an allergic reaction to the second shot which was caught at the site before I was able to leave. I also want to mention I have a bleeding disorder so the last time I got my shot I had break through bleeding
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yes, dizzniess vaginally break through bleeding anxiety and memory issues.
Healthcare visit (other): Waiting for march 2 appt
Release 9 — 6 months, dose 2
Symptoms: Started with headache then earache then runny nose itchy watery eyes lots of congestion and sneezing with a sore throat and cough I got covid-19/Delta.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Ear pain | ✓ | · | ✓ |
| SD | Eye pruritus | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Lacrimation increased | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release