6DG-29424-20193
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 151 / PA
- Registered
- 2020-12-23
- Relationship
- Self
Timeline
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2020-12-23
Registered in v-safe
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2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-23
- 2020-12-27
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Lacrimation increased, Somnolence — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to workFree text: Right eye waters by it self, loss of appetite, very very sleepy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
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2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Headache, DiarrheaAdult check-in
- 2020-12-30
- 2021-01-06
- 2021-01-15
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2021-01-18
Dose 2 — Pfizer-BioNTech
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2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-01-20
Survey response — day 0, dose 2MedDRA: Urticaria — Feeling: Poor · Site: Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal painFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, NauseaFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Good · Site: Redness, Swelling · Joint pains, Fatigue or tiredness, Nausea, DiarrheaFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-27
Health check-in — day 7, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-28 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Right eye waters by it self, loss of appetite, very very sleepy.
Release 2 — day 0, dose 2
Systemic reaction (other): Hives
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Hives
Systemic reaction (other): Hives
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 |
|---|---|---|---|---|
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release