65E-27679-59863
4 vaccinations
6 coded responses
43 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 199 / DE
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Pfizer-BioNTech
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — day 7, dose 1MedDRA: Abdominal pain upper — Feeling: Good · Abdominal pain · Be unable to do your normal daily activitiesFree text: Last night pain on R side of lower stomach lasted 5 hrs. May not be associated??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
-
2021-03-10
Survey response — day 21, dose 2MedDRA: Rash — Feeling: GoodFree text: Slight rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Office visit, Pre-existing disease, Seasonal allergy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My allergies to pollen have been of the roof. · Healthcare visit (other): Office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Endodontic procedure, Migraine, Root canal infection, Toothache — 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 have a tooth that has a root canal. It hurts and is infected. They say I need another root canal. I also have been having more migraine headaches.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
-
2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-07
- 2021-10-14
- 2021-10-23
- 2021-10-28
- 2021-11-04
- 2021-11-11
-
2021-12-30
Survey response — 3 months, dose 3MedDRA: Lymphadenopathy, Nasal congestion, Office visit, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Runny nose. Stuffy nose. Swollen gland. · Healthcare visit (other): I went to the ENTMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-04
-
2022-01-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-02
-
2022-04-08
Dose 4 — Moderna
- 2022-04-16
- 2022-04-22
- 2022-05-07
-
2022-05-16
Survey response — day 35, dose 4MedDRA: Ear pain, Facial pain, Sinusitis, Toothache — Feeling: Fair · 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: Very bad sinus infection. Affecting pain in my ears, teeth, and face.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-16
Report sent to call center — day 35, 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)
- 2022-05-17
- 2022-05-20
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Last night pain on R side of lower stomach lasted 5 hrs. May not be associated??
Release 5 — day 21, dose 2
Symptoms: Slight rash
Release 8 — 3 months, dose 2
Symptoms: My allergies to pollen have been of the roof.
Healthcare visit (other): Office visit.
Release 9 — 6 months, dose 2
Symptoms: I have a tooth that has a root canal. It hurts and is infected. They say I need another root canal. I also have been having more migraine headaches.
Release 10 — 3 months, dose 3
Symptoms: Runny nose. Stuffy nose. Swollen gland.
Healthcare visit (other): I went to the ENT
Release 11 — day 35, dose 4
Symptoms: Very bad sinus infection. Affecting pain in my ears, teeth, and face.
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 | Ear pain | · | · | ✓ |
| SD | Endodontic procedure | ✓ | · | ✓ |
| SD | Facial pain | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Root canal infection | ✓ | · | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Toothache | ✓ | · | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release