6NA-21094-11818
4 vaccinations
6 coded responses
32 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 189 / PA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Pfizer-BioNTech
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-25
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Pfizer-BioNTech
-
2021-04-14
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: GoodFree text: a little light headed but not dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
-
2021-04-28
Survey response — day 14, dose 2MedDRA: Rash, Self-medication — Feeling: GoodFree text: Large rash under right breast. Never had this before. Using emuaid and cortisone to help heal it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — day 21, dose 2MedDRA: Office visit, Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Went to dermatologist for under breast rash. Had small lump removed from leg. Went to podiatrist for unknown ache in left front ball of foot. Received cortisone injection. Scheduled full physical for next week with primary. · Healthcare visit (other): Dermatologist and Podiatrist visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-13
Survey response — 6 months, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bad sore throat and bad coughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-16
Dose 3 — Pfizer-BioNTech
-
2022-04-03
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-25
- 2022-05-03
- 2022-05-08
- 2022-05-16
- 2022-07-03
-
2022-10-02
Survey response — 6 months, dose 4MedDRA: Brain fog, Cough, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Good · 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: Congestion, mild cough, aches, minor sore throat. Brain fog.MedDRA releases: 2024-11 · check-in free text available
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2022-10-02
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-04
-
2023-04-03
Survey response — 12 months, dose 4MedDRA: Gastroenteritis viral, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech | |
| 3 | 2021-10-16 | Pfizer-BioNTech | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): a little light headed but not dizzy.
Release 8 — day 14, dose 2
Symptoms: Large rash under right breast. Never had this before. Using emuaid and cortisone to help heal it.
Release 8 — day 21, dose 2
Symptoms: Went to dermatologist for under breast rash. Had small lump removed from leg. Went to podiatrist for unknown ache in left front ball of foot. Received cortisone injection. Scheduled full physical for next week with primary.
Healthcare visit (other): Dermatologist and Podiatrist visit
Release 10 — 6 months, dose 2
Symptoms: Bad sore throat and bad cough
Release 12 — 6 months, dose 4
Symptoms: Congestion, mild cough, aches, minor sore throat. Brain fog.
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 | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release