XXG-12258-62883
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 833 / ID
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Registered in v-safe
-
2020-12-18
Dose 1 — Pfizer-BioNTech
- 2020-12-18
-
2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-20
- 2020-12-21
-
2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2020-12-27
-
2021-01-01
Survey response — 14 day, dose 1MedDRA: Arthralgia, Diarrhoea, Nausea — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-17
- 2021-01-22
-
2021-01-29
Survey response — 21 day, dose 2MedDRA: Arthralgia, Autoimmune disorder, Condition aggravated, Dyspnoea, No adverse event, Office visit, Pre-existing disease, Pruritus, Sarcoidosis, Uveitis — Feeling: Fair · 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
-
2021-01-29
Report sent to call center — 21 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-04-09
- 2021-05-26
-
2021-07-10
Survey response — 6 month, dose 2MedDRA: Joint stiffness, Pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-29 | Unsuccessful |
Free text
Release 1
Symptoms: Last Thursday And Friday I had bday joint ache:pains then developed on Thursday, diarrhea and nausea, lasted 2 days.
Systemic reaction (other): I have an autoimmune disorder. Sarcoidosis. This may be aggravating that.
Release 3
Symptoms: I had a huge flare up with my autoimmune disorder. Turned into uveitis again, achy joints, itching skin, short of breath. Feel my autoimmune response was triggered and the vaccine has been the only new thing.
Healthcare visit (other): With my pulmonologist for my sarcoidosis.
Release 9
Symptoms: Increasing stiffness in joints. To the point it hurts to now move especially after sitting.
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 | No adverse event | ○ | ✓ | ○ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Sarcoidosis | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Autoimmune disorder | ○ | ✓ | ○ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Uveitis | ○ | ✓ | ○ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release