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682-16325-75543

2 vaccinations 3 coded responses 3 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
454 / OH
Registered
2021-04-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-05
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-14
    Registered in v-safe
  4. 2021-04-14
    Survey response — day 35, dose 2
    MedDRA: Hypertension, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I have been having very high hypertension readings but was occurring prior to vaccination. My physician ordered a CMP lab test on Mar 12 and I had another on Mar 16 which showed a 11 point drop in my GFR. I do have stage 3 chronic kidney disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-14
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-18
    Survey response — day 42, dose 2
    MedDRA: Condition aggravated, Office visit, Ovarian mass, Pre-existing disease, Ultrasound pelvis abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Abnormal Pelvic Ultrasound-Mar 30, 2021 with abnormal thickening of mediastinial area also a cystic lesion in adnexal area has increased in size from CT Scan done in Aug 2020 and a mass in the right ovary. Findings suggest a biopsy · Healthcare visit (other): Saw my PCP on Apr 8, 2021 and she changed hypertension medication
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-18
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-06-04
    Survey response — 3 months, dose 2
    MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Uncontrolled hypertension took medicine Clonidine with adverse side effects and was determined not the right medication for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-04
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-12-28

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Pfizer-BioNTech
22021-03-05Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 35, dose 2

2021-04-14

Symptoms: I have been having very high hypertension readings but was occurring prior to vaccination. My physician ordered a CMP lab test on Mar 12 and I had another on Mar 16 which showed a 11 point drop in my GFR. I do have stage 3 chronic kidney disease cut off by CDC

Release 7 — day 42, dose 2

2021-04-18

Symptoms: Abnormal Pelvic Ultrasound-Mar 30, 2021 with abnormal thickening of mediastinial area also a cystic lesion in adnexal area has increased in size from CT Scan done in Aug 2020 and a mass in the right ovary. Findings suggest a biopsy
Healthcare visit (other): Saw my PCP on Apr 8, 2021 and she changed hypertension medication

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Uncontrolled hypertension took medicine Clonidine with adverse side effects and was determined not the right medication for me.

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 ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDHypertension ✓ ✓ ✓
SDOvarian mass ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUltrasound pelvis abnormal ✓ ✓ ✓

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