XYL-13623-81159
3 vaccinations
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 970 / OR
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Pfizer-BioNTech
-
2021-05-05
Dose 2 — Pfizer-BioNTech
-
2021-05-06
Registered in v-safe
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to workAdult check-in
- 2021-05-07
- 2021-05-08
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-11
- 2021-05-12
- 2021-05-20
-
2021-05-26
Survey response — 21 day, dose 2MedDRA: Burning sensation, Herpes zoster, Immediate post-injection reaction, Pruritus, Rash pruritic, Skin burning sensation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-26
Report sent to call center — 21 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-04
- 2021-06-10
- 2021-06-17
-
2021-08-04
Survey response — 3 month, dose 2MedDRA: Migraine — Feeling: Good · 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: 2021-09,2024-11 · check-in answers available
-
2021-08-04
Report sent to call center — 3 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
-
2021-11-24
Dose 3 — Moderna
- 2022-05-05
-
2022-05-25
Survey response — 6 month, dose 3MedDRA: Malaise, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-11-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | |
| 2 | 2021-05-05 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-26 | Unsuccessful | |
| 2021-08-04 | Unsuccessful |
Free text
Release 8
Systemic reaction (other): After my first shot, I started having hot flashes similar to those during menopause.
Symptoms: Since shortly after my second vaccine I had itchy and burning section of skin on right side of my back. I also have a rash on my right toe that burns and itches. I believe it is a shingles outbreak.
Release 9
Symptoms: Migraine headaches
Release 11
Symptoms: I was sick with sore throat and body aches for 3 days. My child had same symptoms and had negative covid test from health care provider.
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 |
|---|---|---|---|---|
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release