64C-12490-20814
3 vaccinations
5 coded responses
17 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
-
2021-02-01
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good · Be unable to do your normal daily activitiesFree text: Got Covid arm: red, swollen, hot and itchy around injection site, about 3x2 Started 10 days after injection Still there 14 days after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Dose 2 — Pfizer-BioNTech
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Tinnitus — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Buzzing in ears, probably just from fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-09
Survey response — day 28, dose 2MedDRA: Eczema, Pain, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Snnezing, congestion, aches, eczema. I believe they are reactions to other meds I take.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-23
Survey response — day 42, dose 2MedDRA: Eczema, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Eczema pn face, hands and legs. · Healthcare visit (other): Just an in person appointment with a dermatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-11
- 2021-08-10
-
2021-08-20
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
-
2022-01-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-02-18
Survey response — 6 months, dose 3MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nothing to do with COVID. It was cancer related or treatment related. · Healthcare visit (other): saw my primary in personMedDRA releases: 2024-11 · check-in free text available
-
2022-02-18
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-21
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-08-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-09 | Pfizer-BioNTech | |
| 3 | 2021-08-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 21, dose 1
Symptoms: Got Covid arm: red, swollen, hot and itchy around injection site, about 3x2 Started 10 days after injection Still there 14 days after injection.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Buzzing in ears, probably just from fatigue
Release 5 — day 28, dose 2
Symptoms: Snnezing, congestion, aches, eczema. I believe they are reactions to other meds I take.
Release 6 — day 42, dose 2
Symptoms: Eczema pn face, hands and legs.
Healthcare visit (other): Just an in person appointment with a dermatologist
Release 11 — 6 months, dose 3
Symptoms: Nothing to do with COVID. It was cancer related or treatment related.
Healthcare visit (other): saw my primary in person
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 | Eczema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release