MHN-20417-69677
3 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 41-45
- ZIP prefix
- 283 / NC
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
-
2020-12-17
Dose 1 — Pfizer-BioNTech
-
2020-12-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-19
- 2020-12-22
-
2021-01-07
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Fever yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-16
- 2021-01-21
- 2021-01-28
- 2021-02-20
-
2021-07-09
Survey response — 6 months, dose 2MedDRA: Hospitalisation, Pericarditis — 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 visit, HospitalizationFree text: Was admitted to the hospital for four days with Pericarditis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-15
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-10-05
Survey response — day 7, dose 3MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: How a light headed moment 10/1/2021MedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — day 14, dose 3MedDRA: Hypertension — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood pressure has been highMedDRA releases: 2024-11 · check-in free text available
- 2021-10-18
- 2021-10-25
- 2021-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Fever yesterday
Release 9 — 6 months, dose 2
Symptoms: Was admitted to the hospital for four days with Pericarditis.
Release 10 — day 7, dose 3
Systemic reaction (other): How a light headed moment 10/1/2021
Release 10 — day 14, dose 3
Symptoms: Blood pressure has been high
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Pericarditis | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release