5Z7-52473-13743
4 vaccinations
4 coded responses
44 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 937 / CA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Pfizer-BioNTech
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 2 — Pfizer-BioNTech
-
2021-03-09
Survey response — day 0, dose 2MedDRA: Pruritus, Rash, Tenderness, Urticaria — Feeling: FairFree text: I have a large welts on a very big varicose vein just above my knee which is very tender and itches really badly and it erupted very quickly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Muscle twitching, Photophobia — Feeling: FairFree text: Face twitching, light sensitivity, head rushMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
-
2022-01-03
Survey response — 3 months, dose 3MedDRA: Adverse reaction, Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm being tested for subacute thyroiditis which some research shows can be caused by the vaccine or potentially by my booster shot. I'm supposed to have several blood test and see my doctor again and she will follow up. The symptoms include a swolle · Healthcare visit (other): As mentioned a test and yet on schedule follow up visitMedDRA releases: 2024-11 · check-in free text available
-
2022-01-03
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-04
-
2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-10-14
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue, Headache, Pain, Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge, Sneezing — 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 consultationFree text: I tested positive with symptoms of Covid on 9.30.22. M'y symptoms were headaches, coughing sneezing, runny nose, excess mucous draining, body ache and fatigue. I was put on Paxlovid which I took for 4 of the 5 day course due to developing severe stomMedDRA releases: 2024-11 · check-in free text available
-
2022-10-14
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 · 1 call case(s)
-
2022-10-18
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): I have a large welts on a very big varicose vein just above my knee which is very tender and itches really badly and it erupted very quickly.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Face twitching, light sensitivity, head rush
Release 10 — 3 months, dose 3
Symptoms: I'm being tested for subacute thyroiditis which some research shows can be caused by the vaccine or potentially by my booster shot. I'm supposed to have several blood test and see my doctor again and she will follow up. The symptoms include a swolle cut off by CDC
Healthcare visit (other): As mentioned a test and yet on schedule follow up visit
Release 12 — 6 months, dose 4
Symptoms: I tested positive with symptoms of Covid on 9.30.22. M'y symptoms were headaches, coughing sneezing, runny nose, excess mucous draining, body ache and fatigue. I was put on Paxlovid which I took for 4 of the 5 day course due to developing severe stom cut off by CDC
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 | Adverse reaction | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release