69Z-17201-64270
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 809 / CO
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Pfizer-BioNTech
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: On the first Eve I had fever 99.8 and slight headache only when I stand upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I just got back from the hospital they said I had a TIS They did a CAT scan took blood samples the incidents were quite minimal they gave me 4 baby aspirin and to take one a day and see my general practitioner as soon as possibleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 1MedDRA: Atherectomy, Carotid artery occlusion, Carotid artery stenosis, Coronary arterial stent insertion, Emergency care, Hospitalisation, Transient ischaemic attack — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Went to the hospital they think I had TIAs I had a shunt put in my heart I had my collided artery cleaned out it was 90% blocked I am home nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-08
-
2021-04-15
Dose 2 — Pfizer-BioNTech
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-06-07
- 2021-07-15
- 2021-10-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): On the first Eve I had fever 99.8 and slight headache only when I stand up
Systemic reaction (other): I just got back from the hospital they said I had a TIS They did a CAT scan took blood samples the incidents were quite minimal they gave me 4 baby aspirin and to take one a day and see my general practitioner as soon as possible
Release 6 — day 14, dose 1
Symptoms: Went to the hospital they think I had TIAs I had a shunt put in my heart I had my collided artery cleaned out it was 90% blocked I am home now
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 |
|---|---|---|---|---|
| SD | Atherectomy | ✓ | · | ✓ |
| SD | Carotid artery occlusion | ✓ | · | ✓ |
| SD | Carotid artery stenosis | ○ | ✓ | ○ |
| SD | Coronary arterial stent insertion | ✓ | ✓ | ✓ |
| SD | Coronary artery occlusion | ○ | · | ○ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Hospitalisation | ○ | ✓ | ○ |
| SD | Transient ischaemic attack | ○ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release