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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

  1. 2021-02-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flushing — Feeling: Good
    Free text: No fever, but feeling a little flushed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: None of the above, but I do have a runny nose since my last check-in with you. That is my only symptom
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Constipation, Rhinorrhoea — Feeling: Fair
    Free text: Constipation and runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, cold-like symptoms, but feeling good otherwise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Feeling abnormal, Nausea — Feeling: Fair
    Free text: Light headedness, nausea, a general fogginess in my head
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-06
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Nausea — Feeling: Fair
    Free text: Very tired, some nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-15
    Survey response — day 35, dose 2
    MedDRA: Dizziness — Feeling: Fair
    Free text: Light headedness vontibues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-22
    Survey response — day 42, dose 2
    MedDRA: Asthenia, Chills, Dizziness, Fatigue, Nausea, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Chills, nausea, very light-headed, very tired/weak · Healthcare visit (other): In person doctor visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-22
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-10
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  19. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-03-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  21. 2022-03-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Pfizer-BioNTech
22021-03-09Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): No fever, but feeling a little flushed

2021-03-11

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

2021-03-14

Systemic reaction (other): Constipation and runny nose

2021-03-15

Systemic reaction (other): Runny nose, cold-like symptoms, but feeling good otherwise

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Runny nose

Release 6 — day 21, dose 2

2021-03-30

Symptoms: Light headedness, nausea, a general fogginess in my head

Release 7 — day 28, dose 2

2021-04-06

Symptoms: Very tired, some nausea

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Light headedness vontibues

Release 7 — day 42, dose 2

2021-04-22

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SROConstipation ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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