6DM-22781-31074
2 vaccinations
9 coded responses
16 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-16
Dose 1 — Pfizer-BioNTech
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2021-03-09
Registered in v-safe
-
2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: GoodFree text: No fever, but feeling a little flushedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: None of the above, but I do have a runny nose since my last check-in with you. That is my only symptomMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Constipation, Rhinorrhoea — Feeling: FairFree text: Constipation and runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: Runny nose, cold-like symptoms, but feeling good otherwiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 7, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 2MedDRA: Dizziness, Feeling abnormal, Nausea — Feeling: FairFree text: Light headedness, nausea, a general fogginess in my headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 28, dose 2MedDRA: Fatigue, Nausea — Feeling: FairFree text: Very tired, some nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 35, dose 2MedDRA: Dizziness — Feeling: FairFree text: Light headedness vontibuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 42, dose 2MedDRA: Asthenia, Chills, Dizziness, Fatigue, Nausea, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Chills, nausea, very light-headed, very tired/weak · Healthcare visit (other): In person doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
- 2021-09-07
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2022-03-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): No fever, but feeling a little flushed
Systemic reaction (other): None of the above, but I do have a runny nose since my last check-in with you. That is my only symptom
Systemic reaction (other): Constipation and runny nose
Systemic reaction (other): Runny nose, cold-like symptoms, but feeling good otherwise
Release 5 — day 7, dose 2
Systemic reaction (other): Runny nose
Release 6 — day 21, dose 2
Symptoms: Light headedness, nausea, a general fogginess in my head
Release 7 — day 28, dose 2
Symptoms: Very tired, some nausea
Release 7 — day 35, dose 2
Symptoms: Light headedness vontibues
Release 7 — day 42, dose 2
Symptoms: Chills, nausea, very light-headed, very tired/weak
Healthcare visit (other): In person doctor visit
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release