XXX-68618-74333
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 617 / IL
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Registered in v-safe
-
2021-03-06
Dose 1 — Pfizer-BioNTech
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · Site: Pain · DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Pfizer-BioNTech
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, HeadacheAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
-
2021-10-02
Survey response — 6 month, dose 2MedDRA: Bronchitis, Emphysema, Office visit, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2021-10-02
Report sent to call center — 6 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-11
-
2021-10-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-05
Survey response — 12 month, dose 2MedDRA: Chills, Pain in extremity, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-04-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-02 | Successful 2021-10-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5
Systemic reaction (other): Diarrhea may be due to weekly Risedronate (sp?) medication for osteoporosis
Release 9
Symptoms: Recently diagnosed with emphysema and fighting bronchitis now. Tested neg for covid a week ago. Follow up with Dr on oct 4.
Healthcare visit (other): At dr office
Release 11
Symptoms: Got the booster vac on November 3, 2021. Only slightly sore arm for a few days. Had a very Runny nose and sneezing and chills for several days December 20 through 23. Purchased at home test kit. Results showed negative on December 24 and 26.
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 | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Emphysema | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release