UBN-71603-14970
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 546 / WI
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-23
- 2020-12-28
- 2020-12-30
- 2021-01-06
-
2021-01-14
Dose 2 — Pfizer-BioNTech
- 2021-01-14
- 2021-02-20
-
2021-02-25
Survey response — day 42, dose 2MedDRA: Ear pain, Sleep disorder — Feeling: GoodFree text: Had some mild pain in left ear. Woke me up a couple of nights last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — 3 months, dose 2MedDRA: Migraine, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Migraine, but I suffer from migraines sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-19
Survey response — 6 months, dose 2MedDRA: Uterine polyp — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 2 intrauterine polypsMedDRA releases: 2024-11 · check-in free text available
-
2021-07-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
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2022-01-16
Survey response — 12 months, dose 2MedDRA: Haemorrhage, Subchorionic haematoma — 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 · Outpatient clinic or urgent care clinic visitFree text: Subchorionic hematoma with associated bleedingMedDRA releases: 2024-11 · check-in free text available
-
2022-01-16
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-14 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 42, dose 2
Symptoms: Had some mild pain in left ear. Woke me up a couple of nights last week.
Release 7 — 3 months, dose 2
Symptoms: Migraine, but I suffer from migraines sometimes
Release 9 — 6 months, dose 2
Symptoms: 2 intrauterine polyps
Release 10 — 12 months, dose 2
Symptoms: Subchorionic hematoma with associated bleeding
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Haemorrhage | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
| SD | Subchorionic haematoma | · | · | ✓ |
| SD | Uterine polyp | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release