9PU-63123-02744
4 vaccinations
4 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 220 / VA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · DiarrheaFree text: Swollen lymph node near collarbone on side of body the injection was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-20
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
-
2021-10-12
Survey response — 6 months, dose 2MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: GoodFree text: Heavy and irregular periodsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Dose 3 — Pfizer-BioNTech
- 2022-04-13
-
2022-06-01
Survey response — 6 months, dose 3MedDRA: COVID-19, Chills, Oropharyngeal pain, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid 19 infection. Sore throat, fever, body aches, chills.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-12
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-12-03
Survey response — 12 months, dose 3MedDRA: Magnetic resonance imaging abnormal, Microangiopathy, Vertigo — 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 · Emergency room or emergency department visitFree text: Mri with indications of small blood vessel disease. Episode of vertigo.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-03
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
| 4 | 2022-11-12 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph node near collarbone on side of body the injection was given
Release 10 — 6 months, dose 2
Symptoms: Heavy and irregular periods
Release 11 — 6 months, dose 3
Symptoms: Covid 19 infection. Sore throat, fever, body aches, chills.
Release 12 — 12 months, dose 3
Symptoms: Mri with indications of small blood vessel disease. Episode of vertigo.
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 | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Microangiopathy | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release