5TE-22584-12547
5 vaccinations
5 coded responses
27 check-ins
3 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 916 / CA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Pfizer-BioNTech
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 21, dose 2MedDRA: Chronic myeloid leukaemia, Rash — Feeling: GoodFree text: Rash from buttocks to face but likely from taking Imatinib 400 mg as just diagnosed CML.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-25
Survey response — day 35, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 2nd dose was Feb 18. Since Feb 25 for almost a month went into severe pain flare of existing long term chronic pain condition (myofasial/neuropathic). Head of (b)(6) Pain Center thinks might have related to vaccine. Dont know!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Gastrointestinal disorder, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Traveled to Africa for one month. Developed GI tract distress. Unrelated to COVID. Had 5 negative Covid tests pre and during trip.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-08-25
-
2021-08-26
Dose 3 — Pfizer-BioNTech
- 2022-02-18
-
2022-06-08
Dose 4 — Pfizer-BioNTech
-
2022-10-22
Dose 5 — Pfizer-BioNTech
-
2023-01-21
Survey response — 3 months, dose 5MedDRA: Drainage, Ear congestion, Office visit, Sinus congestion, Sinus operation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-21
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-24
- 2023-01-24
- 2023-01-24
-
2023-04-22
Survey response — 6 months, dose 5MedDRA: Ankle fracture, Lower limb fracture, SARS-CoV-2 test negative, Surgery, Tibia fracture — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-04-22
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2023-04-25
- 2023-04-25
- 2023-04-25
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-08-26 | Pfizer-BioNTech | No |
| 4 | 2022-06-08 | Pfizer-BioNTech | No |
| 5 | 2022-10-22 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 2
Symptoms: Rash from buttocks to face but likely from taking Imatinib 400 mg as just diagnosed CML.
Release 6 — day 35, dose 2
Symptoms: 2nd dose was Feb 18. Since Feb 25 for almost a month went into severe pain flare of existing long term chronic pain condition (myofasial/neuropathic). Head of (b)(6) Pain Center thinks might have related to vaccine. Dont know!
redacted (b)(6)
Release 9 — 6 months, dose 2
Symptoms: Traveled to Africa for one month. Developed GI tract distress. Unrelated to COVID. Had 5 negative Covid tests pre and during trip.
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 | Ankle fracture | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Tibia fracture | · | · | ✓ |
| SD | Chronic myeloid leukaemia | ✓ | ✓ | ✓ |
| SD | Drainage | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Lower limb fracture | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus operation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release