XVN-22156-46285
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 631 / MO
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-29
Registered in v-safe
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Diarrhea, Abdominal painAdult check-in
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-31
- 2021-05-21
-
2021-08-18
Survey response — 6 month, dose 2MedDRA: Dizziness, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-09-08
Dose 3 — Pfizer-BioNTech
- 2022-02-19
-
2022-04-20
Dose 4 — Pfizer-BioNTech
-
2022-05-07
Survey response — 14 day, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-05-11
Survey response — 21 day, dose 4MedDRA: Cough, Decreased appetite, Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-05-18
- 2022-06-01
-
2022-07-23
Survey response — 3 month, dose 4MedDRA: Atrial fibrillation, Condition aggravated, Dyspnoea, Exercise tolerance decreased, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-07-23
Report sent to call center — 3 month, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-26
- 2022-07-29
-
2022-07-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-21
Survey response — 6 month, dose 4MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-08 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-23 | Successful 2022-07-29 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9
Symptoms: I had a week of dizziness. I believe this was caused by a non-Covid virus. Covid PCR test was negative.
Release 11
Symptoms: Cold symptoms - mild congestion, cough
Symptoms: Some fever, cough, considerable fatigue, loss of appetite. Multiple antigen tests and one molecular test for Covid all negative.
Release 12
Symptoms: Lower exercise tolerance and shortness of breath due to return of afib (diagnosis preceded the pandemic by just a few months but then had resumption of sinus rhythm for more than a year, until last March).
Healthcare visit (other): Office visits to Internist and cardiologist
Symptoms: Lack of energy.
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 | Asthenia | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Viral infection | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release