6DJ-77559-08792
5 vaccinations
9 coded responses
59 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Pfizer-BioNTech
- 2021-03-01
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Had Covid in October, diabeticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: COVID-19, Diabetes mellitus, Pre-existing disease, SARS-CoV-2 test positive — Feeling: GoodFree text: Positive for covid in October, diabeticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Covid in October , diabeticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: COVID-19, Diabetes mellitus, SARS-CoV-2 antibody test positive — Feeling: GoodFree text: Covid in October, diabetic, positive antibodies as o 2/17/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — day 7, dose 1MedDRA: COVID-19, Pre-existing disease — Feeling: GoodFree text: Covid in October, diabetic, convalescent plasma donorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
-
2021-03-22
Dose 2 — Pfizer-BioNTech
-
2021-03-22
Survey response — day 0, dose 2MedDRA: COVID-19 — Feeling: Good · Site: PainFree text: Covid in OctoberMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: COVID-19 — Feeling: GoodFree text: Covid in OctoberMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-06-21
- 2021-09-20
-
2021-10-05
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
- 2021-10-26
-
2021-11-02
Survey response — day 28, dose 3MedDRA: Computerised tomogram head abnormal, Secretion discharge, Sinusitis — Feeling: GoodFree text: CT scan of sinuses ordered by ENT Chronic sinus infections since Dec 2020 Several sinuses have excess mucousMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-16
-
2022-01-04
Survey response — 3 months, dose 3MedDRA: COVID-19, Eye pain, Headache, Office visit, Periorbital swelling, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Seem to have developed chronic sinus infections from Covid in October 2021. Seeing ENT doctor but little relief from head/eye aches and puffy cheeks/eyelids · Healthcare visit (other): Doctor's office then cte scanMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-06
-
2022-01-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-05
-
2022-05-17
Dose 4 — Pfizer-BioNTech
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-26
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-08-16
-
2022-10-03
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-17 | Pfizer-BioNTech | No |
| 5 | 2022-10-03 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Had Covid in October, diabetic
Systemic reaction (other): Positive for covid in October, diabetic
Systemic reaction (other): Covid in October , diabetic
Systemic reaction (other): Covid in October, diabetic, positive antibodies as o 2/17/21
Release 5 — day 7, dose 1
Systemic reaction (other): Covid in October, diabetic, convalescent plasma donor
Release 6 — day 0, dose 2
Systemic reaction (other): Covid in October
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Covid in October
Release 10 — day 28, dose 3
Symptoms: CT scan of sinuses ordered by ENT Chronic sinus infections since Dec 2020 Several sinuses have excess mucous
Release 10 — 3 months, dose 3
Symptoms: Seem to have developed chronic sinus infections from Covid in October 2021. Seeing ENT doctor but little relief from head/eye aches and puffy cheeks/eyelids
Healthcare visit (other): Doctor's office then cte scan
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 | Computerised tomogram head abnormal | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Periorbital swelling | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | COVID-19 | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 antibody test positive | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release