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
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-02
Registered in v-safe
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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose increased — Feeling: Good · Headache, Fatigue or tirednessFree text: Blood sugar has been a little higher than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-09
-
2021-03-15
Survey response — day 14, dose 1MedDRA: Abdominal pain lower — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree 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
- 2021-03-24
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-05-31
Survey response — 3 months, dose 1MedDRA: 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, HospitalizationFree 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
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2021-05-31
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
- 2022-02-14
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2022-03-01
Survey response — 12 months, dose 1MedDRA: Artificial crown procedure, Dental restoration failure, Office visit, Tooth restoration — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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
-
2022-03-01
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Blood sugar has been a little higher than normal
Release 5 — day 14, dose 1
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Surgery | ✓ | ✓ | ✓ |
| SD | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Appendix disorder | ✓ | ✓ | ✓ |
| SD | Artificial crown procedure | · | · | ✓ |
| SD | Dental restoration failure | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SD | Tooth restoration | · | · | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release