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5UB-89056-59754

1 vaccination 4 coded responses 13 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
280 / NC
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-02
    Registered in v-safe
  3. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose increased — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Blood sugar has been a little higher than normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain lower — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe pain in my lower right abdomen. Had for 3 days. Not getting better, its it's a very sharp pain, hurts when sitting, standing and laying down.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Poor
    Adult check-in
  10. 2021-03-29
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-05
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-31
    Survey response — 3 months, dose 1
    MedDRA: Appendix disorder, Emergency care, Surgery — Feeling: Good · 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, Hospitalization
    Free text: Symptoms: Nothing regarding covid - my appendix burst and had turned gangrenous, I had surgery and I am now recovering. · Healthcare visit (other): And emergency surgery.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-31
    Report sent to call center — 3 months, dose 1
    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)
  15. 2021-08-30
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-02-14
  17. 2022-03-01
    Survey response — 12 months, dose 1
    MedDRA: Artificial crown procedure, Dental restoration failure, Office visit, Tooth restoration — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Dental, had to have 6 crowns and 4 teeth filled. Having trouble with 1 filling and 1 crown. Am on antibiotics and I go back to the dentist's office for him to see what's going on. · Healthcare visit (other): Dental office visit.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-01
    Report sent to call center — 12 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2022-03-03

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Blood sugar has been a little higher than normal

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Severe pain in my lower right abdomen. Had for 3 days. Not getting better, its it's a very sharp pain, hurts when sitting, standing and laying down.

Release 8 — 3 months, dose 1

2021-05-31

Symptoms: Nothing regarding covid - my appendix burst and had turned gangrenous, I had surgery and I am now recovering.
Healthcare visit (other): And emergency surgery.

Release 11 — 12 months, dose 1

2022-03-01

Symptoms: Dental, had to have 6 crowns and 4 teeth filled. Having trouble with 1 filling and 1 crown. Am on antibiotics and I go back to the dentist's office for him to see what's going on.
Healthcare visit (other): Dental office visit.

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
HCVOEmergency care ✓ ✓ ✓
HCVOOffice visit · · ✓
HCVOSurgery ✓ ✓ ✓
SDAbdominal pain lower ✓ ✓ ✓
SDAppendix disorder ✓ ✓ ✓
SDArtificial crown procedure · · ✓
SDDental restoration failure · · ✓
SDOffice visit · · ✓
SDSurgery ✓ ✓ ✓
SDTooth restoration · · ✓
SROBlood glucose increased ✓ ✓ ✓

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