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WHE-28552-67043

3 vaccinations 6 coded responses 16 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
871 / NM
Registered
2020-12-21
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-21
    Registered in v-safe
  2. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Fair · Diarrhea
    Adult check-in
  5. 2021-01-09
    Dose 2 — Pfizer-BioNTech
  6. 2021-01-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-02-01
    Survey response — day 21, dose 2
    MedDRA: Necrotising ulcerative gingivostomatitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Acute necrotizing ulcerative gingivitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-01
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-02-06
    Survey response — day 28, dose 2
    MedDRA: Necrotising ulcerative gingivostomatitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Acute necrotizing ulcerative gingivitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-06
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-02-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-10
    Survey response — 3 months, dose 2
    MedDRA: Syncope — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Syncope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-10
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-11
    Call successful
    Does not wish to fill out VAERS report
  16. 2021-07-10
    Survey response — 6 months, dose 2
    MedDRA: Postural orthostatic tachycardia syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: POTS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-07-10
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-13
  19. 2021-09-01
    Dose 3 — Pfizer-BioNTech
  20. 2021-09-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-09-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-10-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-13
    Survey response — day 42, dose 3
    MedDRA: Conjunctivitis, Hordeolum — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Conjunctivitis and hordoleum
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-13
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  25. 2021-10-15
  26. 2021-12-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-03-02
    Survey response — 6 months, dose 3
    MedDRA: Hypothyroidism, Respiratory tract infection — Feeling: Poor · Be unable to work or attend school
    Free text: Currently I'll with respiratory infection Also now hypothyroid
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-09-02
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-09Pfizer-BioNTech
32021-09-01Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-01 Successful
2021-06-11
 Does not wish to fill out VAERS report
2021-02-06 Successful Does not wish to fill out VAERS report
2021-04-10 Successful Does not wish to fill out VAERS report
2021-07-10 Unsuccessful
2021-10-13 Unsuccessful

Free text

Release 3 — day 21, dose 2

2021-02-01

Symptoms: Acute necrotizing ulcerative gingivitis

Release 3 — day 28, dose 2

2021-02-06

Symptoms: Acute necrotizing ulcerative gingivitis

Release 7 — 3 months, dose 2

2021-04-10

Symptoms: Syncope

Release 9 — 6 months, dose 2

2021-07-10

Symptoms: POTS

Release 10 — day 42, dose 3

2021-10-13

Symptoms: Conjunctivitis and hordoleum

Release 11 — 6 months, dose 3

2022-03-02

Symptoms: Currently I'll with respiratory infection Also now hypothyroid

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

FieldPreferred term2021-092023-042024-11
SDConjunctivitis · · ✓
SDHordeolum · · ✓
SDHypothyroidism · · ✓
SDNecrotising ulcerative gingivostomatitis ✓ ✓ ✓
SDPostural orthostatic tachycardia syndrome ✓ ✓ ✓
SDRespiratory tract infection · · ✓
SDSyncope ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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