6AT-30176-31940
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-02-10
Registered in v-safe
- 2021-02-10
- 2021-02-11
-
2021-02-18
Survey response — day 21, dose 1MedDRA: Anxiety, Emotional distress, Nasopharyngitis, Pre-existing disease, Self-medication — Feeling: GoodFree text: Too much going on. Had one of my anxiety attacks. For one day I felt like a cold but my allergy medicine cleared it up. Felt fine the next day. No physical issues but emotionally struggling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-06
-
2021-03-10
Dose 2 — Pfizer-BioNTech
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 21, dose 2MedDRA: Anxiety, Emotional disorder, Panic reaction, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Emotional issues and increased anxiety. Nothing physical and no reactions to the vaccine. I already had anxiety issues and a service dog to help but the constant barrage of news continues to stir up the panic. Enough is enough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — day 35, dose 2MedDRA: Bone contusion, Fall, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I fell and was diagnosed with Rib Contusion. Nothing to do with Covid, just wasnt paying attention. · Healthcare visit (other): Primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-21
- 2021-06-09
- 2021-09-10
-
2021-11-05
Dose 3 — Pfizer-BioNTech
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2021-12-10
-
2021-12-17
Survey response — day 42, dose 3MedDRA: Dizziness, Fatigue — Feeling: FairFree text: Dizziness and fatigue. Probably the results of a 77 year old woman preparing for the holidays, at least the fatigue part.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
-
2022-03-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 21, dose 1
Symptoms: Too much going on. Had one of my anxiety attacks. For one day I felt like a cold but my allergy medicine cleared it up. Felt fine the next day. No physical issues but emotionally struggling.
Release 6 — day 21, dose 2
Symptoms: Emotional issues and increased anxiety. Nothing physical and no reactions to the vaccine. I already had anxiety issues and a service dog to help but the constant barrage of news continues to stir up the panic. Enough is enough.
Release 7 — day 35, dose 2
Symptoms: I fell and was diagnosed with Rib Contusion. Nothing to do with Covid, just wasnt paying attention.
Healthcare visit (other): Primary care physician
Release 10 — day 42, dose 3
Symptoms: Dizziness and fatigue. Probably the results of a 77 year old woman preparing for the holidays, at least the fatigue part.
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Bone contusion | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Emotional disorder | ✓ | ✓ | ✓ |
| SD | Emotional distress | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Panic reaction | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release