63H-11616-07442
5 vaccinations
3 coded responses
35 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 752 / TX
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — day 7, dose 1MedDRA: Acne, Ear pain, Ear swelling, Migraine, Office visit, Pre-existing disease, Urinary tract infection — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Migraine but I take naratriptan for my migraines around my menstrual so it could be this. I also got a UTI that my doctor prescribed 2 days after getting the shot. This may not be related. I noticed a small bump (pimple) on the inside of my ear today. The inner ear is sore. May not be related but reporting. · Healthcare visit (other): Doctors office to give urine sample to check for UTI.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 7, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
-
2021-03-28
Dose 2 — Pfizer-BioNTech
- 2021-03-28
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-03
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-10
- 2021-06-27
- 2021-09-26
-
2021-10-25
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-03-07
-
2022-03-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-28
-
2022-04-24
Dose 4 — Moderna
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-04-26
- 2022-04-27
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-24
- 2022-05-29
- 2022-06-05
-
2022-07-24
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Headache, Nausea, Vomiting — Feeling: Good · Be unable to work or attend schoolFree text: Vomiting, nausea, diarrhea, headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-09-07
Dose 5 — Moderna
-
2022-10-21
Survey response — day 42, dose 5MedDRA: Fatigue, Productive cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Confested, runny nose, coughing up phlegm, tirednessMedDRA releases: 2024-11 · check-in free text available
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-28 | Pfizer-BioNTech | |
| 3 | 2021-10-25 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-24 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Migraine but I take naratriptan for my migraines around my menstrual so it could be this. I also got a UTI that my doctor prescribed 2 days after getting the shot. This may not be related. I noticed a small bump (pimple) on the inside of my ear today. The inner ear is sore. May not be related but reporting.
Healthcare visit (other): Doctors office to give urine sample to check for UTI.
Release 12 — 3 months, dose 4
Symptoms: Vomiting, nausea, diarrhea, headache
Release 12 — day 42, dose 5
Symptoms: Confested, runny nose, coughing up phlegm, tiredness
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Acne | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Ear swelling | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release