6K3-23536-25230
5 vaccinations
3 coded responses
32 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
54R-10662-05016
Other · Male · 2022-04-21
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Pfizer-BioNTech
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Cough, Sinus headache — Feeling: GoodFree text: Sinus headache tightness upper chest little bit of a coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Pfizer-BioNTech
- 2021-03-31
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
-
2021-10-13
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-03-30
Survey response — 12 months, dose 2MedDRA: Cellulitis, Hospitalisation, SARS-CoV-2 test negative, Surgery, Tooth infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Tested negative for Covid. Acute cellulitis-infected wisdom tooth. Hospitalized 7days had surgery Feb 15MedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-01
-
2022-04-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-21
- 2022-04-28
- 2022-05-05
-
2022-05-14
Survey response — day 28, dose 4MedDRA: Chest discomfort, Cough, Dysphonia, Paranasal sinus discomfort, Productive cough, Self-medication, Sputum discoloured, Unevaluable event — Feeling: FairFree text: No fever sinus pressure,tightness in chest,voice is raspy and awful cough w/green colored sputum.Dont cough all the time but sounds awful. Been using Guafson mucus tablets. Tested negative yesterday for CV Not getting worse but third day of symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
- 2022-07-14
-
2022-10-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-14
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-10-12 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus headache tightness upper chest little bit of a cough
Release 11 — 12 months, dose 2
Symptoms: Tested negative for Covid. Acute cellulitis-infected wisdom tooth. Hospitalized 7days had surgery Feb 15
Release 11 — day 28, dose 4
Symptoms: No fever sinus pressure,tightness in chest,voice is raspy and awful cough w/green colored sputum.Dont cough all the time but sounds awful. Been using Guafson mucus tablets. Tested negative yesterday for CV Not getting worse but third day of symptoms cut off by CDC
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 | Cellulitis | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Tooth infection | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release