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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

  1. 2021-02-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-23
    Dose 2 — Pfizer-BioNTech
  4. 2021-02-23
    Survey response — day 0, dose 2
    MedDRA: Injection site hypersensitivity, Pre-existing disease — Feeling: Good · Headache, Nausea, Vomiting
    Free 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 bleeding
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free text: Yes, dizzniess vaginally break through bleeding anxiety and memory issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-25
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free text: Waiting for march 2 appt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Headache · Be unable to work
    Adult check-in
  11. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  12. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free 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
  14. 2021-08-24
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  15. 2021-08-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  16. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Pfizer-BioNTech
22021-02-23Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-23

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

2021-02-25

Systemic reaction (other): Yes, dizzniess vaginally break through bleeding anxiety and memory issues.

2021-02-26

Healthcare visit (other): Waiting for march 2 appt

Release 9 — 6 months, dose 2

2021-08-24

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDCough ✓ · ✓
SDCOVID-19 ✓ · ✓
SDEar pain ✓ · ✓
SDEye pruritus ✓ · ✓
SDHeadache ✓ · ✓
SDLacrimation increased ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDRespiratory tract congestion ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDSneezing ✓ · ✓
SROAnxiety ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site hypersensitivity ✓ ✓ ✓
SROIntermenstrual bleeding ✓ ✓ ✓
SROMemory impairment ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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