A9M-30001-39770
2 vaccinations
1 coded response
20 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 841 / UT
- Registered
- 2021-09-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-31
Dose 1 — Pfizer-BioNTech
-
2021-09-01
Registered in v-safe
- 2021-09-01
- 2021-09-02
- 2021-09-03
- 2021-09-05
- 2021-09-06
- 2021-09-07
-
2021-09-14
Survey response — day 14, dose 1MedDRA: Blindness transient, Hospitalisation, Syncope — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Admitted to the hospital with fainting & temporary vision lossMedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Report sent to call center — day 14, dose 1Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-21
Dose 2 — Pfizer-BioNTech
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-09-26
- 2021-09-27
- 2021-09-28
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-28
- 2021-11-02
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-31 | Pfizer-BioNTech | No |
| 2 | 2021-09-21 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 14, dose 1
Symptoms: Admitted to the hospital with fainting & temporary vision loss
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 | Blindness transient | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release