6JU-29248-08513
3 vaccinations
4 coded responses
12 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 850 / AZ
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Pfizer-BioNTech
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 2 — Pfizer-BioNTech
-
2021-03-22
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Chemotherapy starting mid to late April 2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 28, dose 2MedDRA: Hilar lymphadenopathy, Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: PET scan F-18 FDG IV. April 08,2021. Mildly hyper metabolic bilayeryhilar as well as portacaval retropenitoneal lymph nodes and right axillary lymph nodes. Indeterminate for benign reactive adenopathy versus nascent lymphatic metastases. · Healthcare visit (other): Oncologist and pulmonologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-27
Survey response — day 35, dose 2MedDRA: Adverse reaction, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: PET scan F-18 FDG IV. 04-08-2021. Mildly hyper metabolic bilayeryhilar as well as portacaval retropenitoneal lymph nodes and right axillary lymph nodes.04/21/2021 Chemotherapy port..Future:04/29/202 Bronscopy biopsy of lymph nodes/nodule. · Healthcare visit (other): Pulmonary onocolgistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-03
Survey response — day 42, dose 2MedDRA: Chest discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Chest discomfort. Chest discomfort Bronchoscopy April 29, 2021 for positive PET scan of chest. Biopsy of lymph node and nodules taken. Reports pending. · Healthcare visit (other): PulmonologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-05
Dose 3 — Pfizer-BioNTech
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Chemotherapy starting mid to late April 2021.
Release 7 — day 28, dose 2
Symptoms: PET scan F-18 FDG IV. April 08,2021. Mildly hyper metabolic bilayeryhilar as well as portacaval retropenitoneal lymph nodes and right axillary lymph nodes. Indeterminate for benign reactive adenopathy versus nascent lymphatic metastases.
Healthcare visit (other): Oncologist and pulmonologist
Release 8 — day 35, dose 2
Symptoms: PET scan F-18 FDG IV. 04-08-2021. Mildly hyper metabolic bilayeryhilar as well as portacaval retropenitoneal lymph nodes and right axillary lymph nodes.04/21/2021 Chemotherapy port..Future:04/29/202 Bronscopy biopsy of lymph nodes/nodule.
Healthcare visit (other): Pulmonary onocolgist
Release 8 — day 42, dose 2
Symptoms: Chest discomfort. Chest discomfort Bronchoscopy April 29, 2021 for positive PET scan of chest. Biopsy of lymph node and nodules taken. Reports pending.
Healthcare visit (other): Pulmonologist
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Hilar lymphadenopathy | ○ | ✓ | ○ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release