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6LK-13510-83067

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
657 / MO
Registered
2021-07-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
JP3-28860-91736 Child or adolescent in my care · Female · 2021-07-15

Timeline

  1. 2021-03-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-07-05
    Dose 2 — Pfizer-BioNTech
  3. 2021-07-15
    Registered in v-safe
  4. 2021-07-15
    Survey response — day 7, dose 2
    MedDRA: Hepatic enzyme increased — Feeling: Fair · Site: Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Elevated liver enzymes after vaccine
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-07-19
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-07-26
    Survey response — day 21, dose 2
    MedDRA: Blood glucose increased, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Very high blood sugar - ongoing. I experienced this both times with the COVID vaccine (no prior blood sugar issues)
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-07-26
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-08-02
    Survey response — day 28, dose 2
    MedDRA: Hepatic enzyme increased, Nausea, Vertigo — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Acute vertigo so severe it caused extreme nausea. Sought medical care, no cause found. Liver enzymes remain elevated. Vertigo lasted for several hours at severity. No medications/drugs/alcohol. NO MEDICAL HISTORY OF VERTIGO.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-02
    Report sent to call center — day 28, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  10. 2021-08-03
  11. 2021-08-09
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-08-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-10-04
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2022-01-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-07-05
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have the covid-19 virus
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Pfizer-BioNTech No
22021-07-05Pfizer-BioNTech No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — day 7, dose 2

2021-07-15

Systemic reaction (other): Elevated liver enzymes after vaccine

Release 9 — day 21, dose 2

2021-07-26

Symptoms: Very high blood sugar - ongoing. I experienced this both times with the COVID vaccine (no prior blood sugar issues)

Release 9 — day 28, dose 2

2021-08-02

Symptoms: Acute vertigo so severe it caused extreme nausea. Sought medical care, no cause found. Liver enzymes remain elevated. Vertigo lasted for several hours at severity. No medications/drugs/alcohol. NO MEDICAL HISTORY OF VERTIGO.

Release 12 — 12 months, dose 2

2022-07-05

Symptoms: I have the covid-19 virus

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
SDBlood glucose increased ✓ · ✓
SDCOVID-19 · · ✓
SDHepatic enzyme increased ✓ · ✓
SDNausea ✓ · ✓
SDVaccine positive rechallenge ✓ · ✓
SDVertigo ✓ · ✓
SROHepatic enzyme increased ✓ · ✓

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

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