67R-17273-97056
5 vaccinations
4 coded responses
34 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 061 / CT
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Pfizer-BioNTech
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Malaise, Nasopharyngitis — Feeling: Good · Site: Pain · Chills, NauseaFree text: I felt like was getting a cold with chills and malaise but it never really happened. Like when your starts to turn over but just doesnt catch!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Pfizer-BioNTech
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: PainFree text: Probably not connected but later last nite for several hours the sole of my left itched like crazy!! Really itchy but no rash. It went away just like it came! No problems since!! Now that Ive written it down, I sound insane but Ill leave it here!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-10-12
Dose 3 — Pfizer-BioNTech
-
2022-03-03
Survey response — 12 months, dose 2MedDRA: Atrial fibrillation, Cardioversion, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: AFib Had a cardioversion · Healthcare visit (other): MD office and Out PT Cardio LabMedDRA releases: 2024-11 · check-in free text available
-
2022-03-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-10
Dose 4 — Pfizer-BioNTech
-
2022-10-19
Dose 5 — Pfizer-BioNTech
- 2022-10-24
- 2022-10-25
- 2022-10-26
-
2022-11-02
Survey response — day 14, dose 5MedDRA: Nasopharyngitis, Paranasal sinus discomfort, Rhinorrhoea — Feeling: GoodFree text: Cold symptoms. Running nose, sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech | |
| 2 | 2021-03-03 | Pfizer-BioNTech | |
| 3 | 2021-10-12 | Pfizer-BioNTech | No |
| 4 | 2022-05-10 | Pfizer-BioNTech | No |
| 5 | 2022-10-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I felt like was getting a cold with chills and malaise but it never really happened. Like when your starts to turn over but just doesnt catch!!
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Probably not connected but later last nite for several hours the sole of my left itched like crazy!! Really itchy but no rash. It went away just like it came! No problems since!! Now that Ive written it down, I sound insane but Ill leave it here!
Release 11 — 12 months, dose 2
Symptoms: AFib Had a cardioversion
Healthcare visit (other): MD office and Out PT Cardio Lab
Release 12 — day 14, dose 5
Symptoms: Cold symptoms. Running nose, sinus pressure
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 | Atrial fibrillation | · | · | ✓ |
| SD | Cardioversion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release