6FV-11467-19487
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 750 / TX
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-23
- 2020-12-25
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-07
Dose 2 — Pfizer-BioNTech
-
2021-01-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Question: is it working? I had no symptoms except injection site pain with either first or second dose. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
- 2021-02-05
- 2021-02-11
- 2021-02-18
- 2021-04-10
-
2021-07-08
Survey response — 6 months, dose 2MedDRA: Cough, Ear pain, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sinus pain, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had a severe cold starting on July 2, 2021. I had severe sinus pain and sore throat, bilateral ear pain, large amount of nasal mucus, some sneezing and coughing, fatigue, headache. I started feeling better on July 6.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-08
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-13
-
2022-01-07
Survey response — 12 months, dose 2MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had one eoisodevot atrial fibrillation on Seept 11 for about 3 hours.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-01-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Question: is it working? I had no symptoms except injection site pain with either first or second dose. Thank you.
Release 9 — 6 months, dose 2
Symptoms: I had a severe cold starting on July 2, 2021. I had severe sinus pain and sore throat, bilateral ear pain, large amount of nasal mucus, some sneezing and coughing, fatigue, headache. I started feeling better on July 6.
Release 10 — 12 months, dose 2
Symptoms: I had one eoisodevot atrial fibrillation on Seept 11 for about 3 hours.
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 |
|---|---|---|---|---|
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release