XW6-32485-89221
2 vaccinations
9 coded responses
16 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- 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
-
2021-01-30
Survey response — 7 day, dose 1MedDRA: Anaphylaxis treatment, Dyspepsia, Pre-existing disease, Rash, Self-medication — Feeling: Poor · Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-03
-
2021-02-10
Dose 2 — Pfizer-BioNTech
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Joint painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Hyperhidrosis — Feeling: Fair · Headache · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-17
Health check-in — 7 day, dose 2Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
- 2021-03-05
-
2021-03-10
Survey response — 28 day, dose 2MedDRA: Anxiety, Cold-stimulus headache, Headache, Joint stiffness, Office visit, Pre-existing disease, Specialist consultation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-03-10
Report sent to call center — 28 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-17
-
2021-03-25
Survey response — 42 day, dose 2MedDRA: Back disorder, Back pain, Neurological symptom, Office visit, Pain in extremity, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA 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)
- 2021-08-11
-
2021-12-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-10 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-03-25 | Successful 2021-12-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3
Systemic reaction (other): I had a rash on my chest probably caused by adhesive from a heart monitor I wore pre-injection. The rash got worse post injection. Coincidence? My GP put me on oral prednisone as the topical I had been using wasnt doing the trick. Finished it up yesterday. Today,I still have a somewhat improved rash and heartburn. Swallowing Mylanta.
Release 4
Systemic reaction (other): Anxiety
Systemic reaction (other): No. Im feeling much better than yesterday.
Systemic reaction (other): Stomach ache
Systemic reaction (other): No. Feeling much better than yesterday
Systemic reaction (other): Stomach ache.
Systemic reaction (other): Stomach upset. Sweats
Release 5
Symptoms: Worsening anxiety attacks and brain/freeze headaches. Also, joint stiffening.
Healthcare visit (other): Saw an orthopedist.
Release 6
Symptoms: Im now in PT for back/leg problem which has gotten worse. Ive been experiencing more pain overnight and neurological symptoms. Probably unrelated to vaccine but, who knows?
Healthcare visit (other): MRI. Orthopedist
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 | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ○ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Back disorder | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cold-stimulus headache | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ○ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Neurological symptom | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Anaphylaxis treatment | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release