5U5-12140-95169
5 vaccinations
8 coded responses
51 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 277 / NC
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Pfizer-BioNTech
- 2021-02-19
-
2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
-
2021-03-10
Dose 2 — Pfizer-BioNTech
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Bladder irritation, Chills — Feeling: Fair · Fatigue or tirednessFree text: This is probably unrelated, but last evening I had a very irritated bladder with a constant urge to urinate every 5-10 minutes for several hours, along with a shivery feeling. Perhaps I was just passing a small kidney stone, but I am noting it in case others experience the same symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: FairFree text: Yesterday I had a fever all day. The vaccine was day before yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Arthropod bite, Food allergy, Laboratory test abnormal, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: After several months of hives, I tested positive for alpha-gal allergy caused by bite of a lone star tick.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-31
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-02
Dose 4 — Pfizer-BioNTech
-
2022-04-05
Call successfulDoes not wish to fill out VAERS report
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
-
2022-09-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-01
- 2022-10-01
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-26
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): This is probably unrelated, but last evening I had a very irritated bladder with a constant urge to urinate every 5-10 minutes for several hours, along with a shivery feeling. Perhaps I was just passing a small kidney stone, but I am noting it in case others experience the same symptoms.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday I had a fever all day. The vaccine was day before yesterday.
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Release 10 — day 7, dose 3
Systemic reaction (other): No
Release 11 — 6 months, dose 3
Symptoms: After several months of hives, I tested positive for alpha-gal allergy caused by bite of a lone star tick.
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 |
|---|---|---|---|---|
| SD | Arthropod bite | · | · | ✓ |
| SD | Food allergy | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Bladder irritation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release