6P3-21717-42901
3 vaccinations
8 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 551 / MN
- Registered
- 2022-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2022-01-27
Dose 1 — Pfizer-BioNTech
-
2022-01-28
Registered in v-safe
- 2022-01-28
-
2022-01-29
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event, Pre-existing disease — Feeling: GoodFree text: I have 5+ years of Fluoroquinolone poisoning (Levaquin) and active anaphylaxis from February 2020 to the end of November 2021. I waited for my doctor to approve my Covid shots! And I am fine! This is exciting!MedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
- 2022-01-31
- 2022-02-01
- 2022-02-02
-
2022-02-03
Survey response — day 7, dose 1MedDRA: Anaphylactic reaction, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Anaphylaxis.mast cells are kicking up some dust today.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-10
-
2022-02-17
Dose 2 — Pfizer-BioNTech
- 2022-02-17
-
2022-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I have mast cell issues, so perhaps that's why I'm getting hit like a younger person (this person being 70).MedDRA releases: 2024-11 · check-in free text available
- 2022-02-19
-
2022-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Anaphylactic reaction, Hypoaesthesia, Hypoaesthesia oral, Mast cell activation syndrome — Feeling: Poor · Site: Swelling · Be unable to do your normal daily activitiesFree text: Had a bit of trouble with mast cell/anayphalaxis: slept well. Had not eaten/no drink. Tongue is numb. Hands and feet. Recovery meds at 10 a m/will take again at 2:15 p m .MedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
- 2022-02-22
-
2022-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Mast cell activation syndrome — Feeling: Fair · Site: Redness, Swelling, Itching · Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The second shot MAY HAVE triggered mast cell. I have a mast cell fire going on. Yikes.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-24
- 2022-03-03
-
2022-03-10
Survey response — day 21, dose 2MedDRA: Condition aggravated, Immediate post-injection reaction, Pre-existing disease — Feeling: GoodFree text: I have mast cell issues which have been more active since immediately after the second shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
- 2022-03-24
- 2022-03-31
-
2022-05-19
Dose 3 — Pfizer-BioNTech
- 2022-05-19
-
2022-08-18
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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: Covid July 11-29MedDRA releases: 2024-11 · check-in free text available
-
2022-08-18
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-19
- 2022-11-17
-
2023-05-19
Survey response — 12 months, dose 3MedDRA: COVID-19, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-01-27 | Pfizer-BioNTech | No |
| 2 | 2022-02-17 | Pfizer-BioNTech | No |
| 3 | 2022-05-19 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 11 — days 1–6 daily, dose 1
Systemic reaction (other): I have 5+ years of Fluoroquinolone poisoning (Levaquin) and active anaphylaxis from February 2020 to the end of November 2021. I waited for my doctor to approve my Covid shots! And I am fine! This is exciting!
Release 11 — day 7, dose 1
Systemic reaction (other): Anaphylaxis.mast cells are kicking up some dust today.
Release 11 — days 1–6 daily, dose 2
Systemic reaction (other): I have mast cell issues, so perhaps that's why I'm getting hit like a younger person (this person being 70).
Systemic reaction (other): Had a bit of trouble with mast cell/anayphalaxis: slept well. Had not eaten/no drink. Tongue is numb. Hands and feet. Recovery meds at 10 a m/will take again at 2:15 p m .
Systemic reaction (other): The second shot MAY HAVE triggered mast cell. I have a mast cell fire going on. Yikes.
Release 11 — day 21, dose 2
Symptoms: I have mast cell issues which have been more active since immediately after the second shot.
Release 12 — 3 months, dose 3
Symptoms: Covid July 11-29
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 | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Immediate post-injection reaction | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Anaphylactic reaction | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Hypoaesthesia oral | · | · | ✓ |
| SRO | Mast cell activation syndrome | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release