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
-
2021-04-29
Dose 1 — Pfizer-BioNTech
-
2021-05-06
Registered in v-safe
- 2021-05-06
- 2021-05-13
-
2021-05-26
Dose 2 — Pfizer-BioNTech
-
2021-06-05
Survey response — 7 day, dose 2MedDRA: Injection site pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-06-30
-
2021-07-07
Survey response — 42 day, dose 2MedDRA: Blood pressure increased, Office visit, Respiratory disorder, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-07-07
Report sent to call center — 42 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
-
2021-08-25
Survey response — 3 month, dose 2MedDRA: 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 visitMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-25
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)
- 2021-11-03
-
2021-11-24
Survey response — 6 month, dose 2MedDRA: COVID-19, Computerised tomogram thorax abnormal, Malaise, Respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Pfizer-BioNTech | |
| 2 | 2021-05-26 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Computerised tomogram thorax abnormal | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Respiratory disorder | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release