84P-16629-06085
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 908 / CA
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- N/A
Timeline
-
2020-12-17
Registered in v-safe
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2020-12-17
Dose 1 — Pfizer-BioNTech
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2020-12-17
Survey response — day 0, dose 1MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body achesFree text: Cheek numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2020-12-20
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Ear congestion — Feeling: Fair · Fatigue or tirednessFree text: Congestion in ears, mild coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-26
- 2020-12-31
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2021-01-04
Dose 2 — Pfizer-BioNTech
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2021-01-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-01-07
Survey response — days 1–6 daily, dose 2MedDRA: Periorbital oedema — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Right periorbital edemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professionalno matching call case
- 2021-01-20
- 2021-01-27
- 2021-02-08
- 2021-02-17
- 2021-04-05
- 2021-07-05
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2022-01-04
Survey response — 12 months, dose 2MedDRA: Chest discomfort, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Sore throat, headache, chest tightness, runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-04 | Pfizer-BioNTech |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
1 check-in flagged for a call with no call center case on record
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Cheek numbness
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion in ears, mild cough
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Right periorbital edema
Release 10 — 12 months, dose 2
Symptoms: Sore throat, headache, chest tightness, runny nose
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 | Chest discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Periorbital oedema | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release