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XYU-16365-45695

2 vaccinations 4 coded responses 7 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
838 / ID
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-29
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-06
    Registered in v-safe
  3. 2021-05-06
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-13
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-26
    Dose 2 — Pfizer-BioNTech
  6. 2021-06-05
    Survey response — 7 day, dose 2
    MedDRA: Injection site pain — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-06-30
    Health check-in — 35 day, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-07-07
    Survey response — 42 day, dose 2
    MedDRA: Blood pressure increased, Office visit, Respiratory disorder, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-07-07
    Report sent to call center — 42 day, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-07-09
  11. 2021-08-25
    Survey response — 3 month, dose 2
    MedDRA: Adverse reaction, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  12. 2021-08-25
    Report sent to call center — 3 month, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-11-03
  14. 2021-11-24
    Survey response — 6 month, dose 2
    MedDRA: COVID-19, Computerised tomogram thorax abnormal, Malaise, Respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-29Pfizer-BioNTech
22021-05-26Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-07-07 Unsuccessful
2021-08-25 Unsuccessful

Free text

Release 8

Systemic reaction (other): Small sore by injection

Release 9

Symptoms: Since last shot my blood pressure has rose i went from no meds to two meds abd have sinus problems and weird gruggling breathing
Healthcare visit (other): Heart dr

Symptoms: Ice been sick since 2nd shot i told u guys noone cares my brother has same issues and now i have to take three pills a day??? I was on none and had xrays dr visits all from vaccines too coincidental im retired besides some rentals cost me money
Healthcare visit (other): Also dr visits

Release 10

Symptoms: Horribly sick covid lungs and respiratory infection for weeks just had ct scan and not good noone helps here drs in my town r quacks

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAdverse reaction ✓ · ✓
SDBlood pressure increased ✓ ✓ ✓
SDComputerised tomogram thorax abnormal · · ✓
SDCOVID-19 · · ✓
SDMalaise · · ✓
SDRespiratory disorder ✓ ✓ ✓
SDRespiratory tract infection · · ✓
SDSinus disorder ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release