5XX-24302-05864
5 vaccinations
4 coded responses
44 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Pfizer-BioNTech
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-05-18
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, SARS-CoV-2 test negative — Feeling: GoodFree text: I have CLL. Blood tests prescribed by hematologist indicate negative results on covid antibodies 5/11/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-16
Dose 3 — Pfizer-BioNTech
-
2021-08-17
Survey response — 6 months, dose 2MedDRA: Fatigue, Headache, Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have CLL and just got a pfizer booster shot on 8/14/21 because I could.I experienced fatigue the day of the shot, a headache and my arm is still a little sore.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-01
- 2021-11-15
-
2022-01-31
Dose 4 — Pfizer-BioNTech
- 2022-02-14
- 2022-05-02
-
2022-08-01
Survey response — 6 months, dose 4MedDRA: Cardiogenic shock, Hospitalisation, Intensive care, Stress cardiomyopathy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Cardiogenic shock. Broken Heart syndrome. One week in hosputal, half of that in intensive care. First week in JuneMedDRA releases: 2024-11 · check-in free text available
-
2022-08-01
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-08-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-19
Dose 5 — Pfizer-BioNTech
- 2022-09-19
- 2022-09-20
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
-
2022-10-03
Survey response — day 14, dose 5MedDRA: Chest pain, Emergency care, Medical counselling, Painful respiration — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: chest pain on inhalation lasting hours. Dr sent me to ER with possibilty of pulminary embolism. Tests, bloodwork revealed no problem.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-03
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-10-04
- 2022-10-10
- 2022-10-17
- 2022-10-25
- 2022-10-31
- 2022-12-19
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-08-16 | Pfizer-BioNTech | No |
| 4 | 2022-01-31 | Pfizer-BioNTech | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 8 — 3 months, dose 2
Symptoms: I have CLL. Blood tests prescribed by hematologist indicate negative results on covid antibodies 5/11/21.
Release 9 — 6 months, dose 2
Symptoms: I have CLL and just got a pfizer booster shot on 8/14/21 because I could.I experienced fatigue the day of the shot, a headache and my arm is still a little sore.
Release 12 — 6 months, dose 4
Symptoms: Cardiogenic shock. Broken Heart syndrome. One week in hosputal, half of that in intensive care. First week in June
Release 12 — day 14, dose 5
Symptoms: chest pain on inhalation lasting hours. Dr sent me to ER with possibilty of pulminary embolism. Tests, bloodwork revealed no problem.
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 | Cardiogenic shock | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Intensive care | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Stress cardiomyopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release