XWJ-87005-93081
4 vaccinations
7 coded responses
43 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 430 / OH
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Pfizer-BioNTech
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Pfizer-BioNTech
- 2021-03-11
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — 28 day, dose 2MedDRA: Cough, Nasopharyngitis, Pre-existing disease — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-15
Survey response — 35 day, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Headache, Pyrexia — Feeling: Fair · Chills, HeadacheMedDRA releases: 2024-11 · check-in answers available
- 2021-10-03
- 2021-10-04
-
2021-10-05
Survey response — 7 day, dose 3MedDRA: Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-10-05
Report sent to call center — 7 day, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-12-01
-
2021-12-28
Survey response — 3 month, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-03-29
- 2022-09-28
-
2022-09-30
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-09
Survey response — 7 day, dose 4MedDRA: Dizziness, Nausea, Pyrexia — Feeling: Good · ChillsMedDRA releases: 2024-11 · check-in answers available
- 2022-10-14
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-31
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-05 | Unsuccessful |
Free text
Release 5
Systemic reaction (other): Fever got up to 101.4 last night but was down to normal this morning
Release 7
Symptoms: Got a cold and cough along with spring allergies
Symptoms: Seasonal allergies that i have had for years
Release 9
Systemic reaction (other): I had the vaccine Tuesday and Wednesday i had 101 temperature chills and headache but by Thursday afternoon I was fine1
Release 10
Systemic reaction (other): UTI
Healthcare visit (other): Office visit
Symptoms: Head cold and cough
Release 12
Systemic reaction (other): The day after I got the shot I had a 100.1 temp, very light headed and nauseous but only lasted one day and i am fine now
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release