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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

  1. 2021-02-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Headache
    Free text: Yesterday day of shot - occasional dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-17
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-17
    Survey response — day 0, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Slightly lightheaded 1-2 hours after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  14. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-16
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Decreased appetite, Stress — Feeling: Fair
    Free 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
  26. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: Abdominal discomfort, Abdominal pain, Gastrointestinal disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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 scan
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-15
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-17
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2021-10-08
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-08
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gingival disorder, Tooth disorder — Feeling: Fair
    Free text: Just a tooth or gum issue. Not related to booster.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  36. 2021-10-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-29
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-11-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Pfizer-BioNTech
22021-03-17Pfizer-BioNTech
32021-10-08Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Yesterday day of shot - occasional dizziness.

Release 5 — day 0, dose 2

2021-03-17

Systemic reaction (other): Slightly lightheaded 1-2 hours after.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): No

Release 9 — 3 months, dose 2

2021-06-16

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

2021-09-15

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

2021-10-08

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-09

Systemic reaction (other): No

2021-10-11

Systemic reaction (other): No

2021-10-12

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain · · ✓
SDDecreased appetite ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDStress ✓ ✓ ○
SRODizziness ✓ ✓ ✓
SROGingival disorder · · ✓
SRONo adverse event ✓ ✓ ✓
SROTooth disorder · · ✓

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