6CW-13574-91999
3 vaccinations
9 coded responses
35 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 152 / PA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-02-25
Registered in v-safe
-
2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · HeadacheFree text: Yesterday day of shot - occasional dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Pfizer-BioNTech
-
2021-03-17
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Slightly lightheaded 1-2 hours after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-06-16
Survey response — 3 months, dose 2MedDRA: Abdominal discomfort, Decreased appetite, Stress — Feeling: FairFree text: Mostly upset stomach and lack of consistent appetite. For about a week. It could be anything. It could be stress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Abdominal pain, Gastrointestinal disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Stomach issues. Upset stomach and pain in left side of navel. Could be anything. Getting a CT scan in a week. · Healthcare visit (other): Just a doctors visit to get a CT scanMedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-08
Dose 3 — Pfizer-BioNTech
-
2021-10-08
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Gingival disorder, Tooth disorder — Feeling: FairFree text: Just a tooth or gum issue. Not related to booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday day of shot - occasional dizziness.
Release 5 — day 0, dose 2
Systemic reaction (other): Slightly lightheaded 1-2 hours after.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 9 — 3 months, dose 2
Symptoms: Mostly upset stomach and lack of consistent appetite. For about a week. It could be anything. It could be stress.
Release 9 — 6 months, dose 2
Symptoms: Stomach issues. Upset stomach and pain in left side of navel. Could be anything. Getting a CT scan in a week.
Healthcare visit (other): Just a doctors visit to get a CT scan
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): Just a tooth or gum issue. Not related to booster.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ○ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Gingival disorder | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Tooth disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release