5YW-31733-25654
4 vaccinations
5 coded responses
53 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-11
- 2021-02-17
-
2021-02-25
Survey response — day 28, dose 1MedDRA: Body temperature increased, Headache — Feeling: GoodFree text: I had an elevated temperature for a few hours, and, stabbing pains on the right side of my head. All this took place on Sunday, 2/21/21. No repeat of these symptoms since then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Dose 2 — Pfizer-BioNTech
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-09-30
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-23
-
2021-10-28
Survey response — day 28, dose 3MedDRA: Diarrhoea — Feeling: GoodFree text: I have had diarrhea every day since Sunday.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — day 35, dose 3MedDRA: Blood test abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: My recent blood test said I have possible cold agglutinin disease. · Healthcare visit (other): Have appointment with hematology/0ncologist Dr.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-05
Call successfulCompleted over the phone
- 2021-11-13
- 2021-12-30
- 2022-04-02
-
2022-05-16
Dose 4 — Pfizer-BioNTech
- 2022-05-18
- 2022-05-19
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-14
- 2022-06-20
-
2022-06-27
Survey response — day 42, dose 4MedDRA: Dyspnoea, Fatigue, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feeling tired, not catching my breath deeply enough. Sneezing. Did not take a COVID test yet, since I thought it could be allergies.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-15
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-27 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-05-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 28, dose 1
Symptoms: I had an elevated temperature for a few hours, and, stabbing pains on the right side of my head. All this took place on Sunday, 2/21/21. No repeat of these symptoms since then.
Release 9 — day 0, dose 3
Systemic reaction (other): No
Release 10 — day 28, dose 3
Symptoms: I have had diarrhea every day since Sunday.
Release 10 — day 35, dose 3
Symptoms: My recent blood test said I have possible cold agglutinin disease.
Healthcare visit (other): Have appointment with hematology/0ncologist Dr.
Release 12 — day 42, dose 4
Symptoms: Feeling tired, not catching my breath deeply enough. Sneezing. Did not take a COVID test yet, since I thought it could be allergies.
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 | Unevaluable event | · | · | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release