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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

  1. 2021-01-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-31
    Registered in v-safe
  3. 2021-02-01
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  4. 2021-02-09
    Dose 2 — Pfizer-BioNTech
  5. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Buzzing in ears, probably just from fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Nausea
    Adult check-in
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  8. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  9. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-09
    Survey response — day 28, dose 2
    MedDRA: Eczema, Pain, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to do your normal daily activities
    Free 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
  13. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-23
    Survey response — day 42, dose 2
    MedDRA: Eczema, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Eczema pn face, hands and legs. · Healthcare visit (other): Just an in person appointment with a dermatologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-23
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-20
    Dose 3 — Pfizer-BioNTech
  19. 2021-09-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-10-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-01-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  22. 2022-02-18
    Survey response — 6 months, dose 3
    MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Nothing to do with COVID. It was cancer related or treatment related. · Healthcare visit (other): saw my primary in person
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-18
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2022-02-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2022-08-23
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Pfizer-BioNTech
22021-02-09Pfizer-BioNTech
32021-08-20Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-02-01

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

2021-02-10

Systemic reaction (other): Buzzing in ears, probably just from fatigue

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Snnezing, congestion, aches, eczema. I believe they are reactions to other meds I take.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Eczema pn face, hands and legs.
Healthcare visit (other): Just an in person appointment with a dermatologist

Release 11 — 6 months, dose 3

2022-02-18

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDEczema ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release