W9U-29526-86234
4 vaccinations
5 coded responses
28 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 928 / CA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Pfizer-BioNTech
- 2021-01-20
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · NauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — 42 day, dose 2MedDRA: Joint injection, Office visit, Tendonitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-25
Report sent to call center — 42 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-13
-
2021-08-12
Survey response — 6 month, dose 2MedDRA: Cardiac stress test abnormal, Electrocardiogram ST segment depression, Extrasystoles, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-12
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-15
-
2021-08-31
Dose 3 — Pfizer-BioNTech
- 2022-02-11
-
2022-04-08
Dose 4 — Pfizer-BioNTech
-
2022-04-19
Survey response — 7 day, dose 4MedDRA: Oedema peripheral, Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-04-19
Report sent to call center — 7 day, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-22
- 2022-04-29
- 2022-05-08
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 month, dose 4MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-07-08
Report sent to call center — 3 month, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-10-07
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-08-31 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-25 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-08-12 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-04-19 | Successful 2022-04-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-08 | Unsuccessful |
Free text
Release 2
Systemic reaction (other): Dizziness briefly during night when I got up to use bathroom. Felt like I was going to faint
Release 6
Symptoms: Tendinitis in left thumb. Orthopedic injected with cortisone
Release 9
Symptoms: Tachycardia. And ectopic. St depression during stress treadmill
Release 11
Systemic reaction (other): Pain and edema in legs and feet
Release 12
Symptoms: Hypertension elevated
Healthcare visit (other): Dr office
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Cardiac stress test abnormal | ✓ | · | ✓ |
| SD | Electrocardiogram ST segment depression | ✓ | · | ✓ |
| SD | Extrasystoles | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Injection | ○ | · | ○ |
| SD | Joint injection | ○ | ✓ | ○ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Tachycardia | ✓ | · | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release