Y23-13154-95757
4 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · HeadacheFree text: I donated blood the day before vaccination; had the vaccine in the same arm as venipuncture. Venipuncture site is slightly redder/more inflamed than usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 1MedDRA: Alopecia, Condition aggravated, Pre-existing disease, Pruritus — Feeling: GoodFree text: Somewhat itchier flare up of frontal fibrosing alopeciaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Dose 2 — Pfizer-BioNTech
-
2021-04-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-06
-
2021-10-04
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Respiratory symptom — Feeling: GoodFree text: Upper respiratory or allergy symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Dose 3 — Pfizer-BioNTech
-
2022-04-07
Survey response — 12 months, dose 2MedDRA: Colitis, Lichen planopilaris — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Frontal fibrosing alopecia ColitisMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-15
- 2022-04-19
-
2022-05-10
Dose 4 — Pfizer-BioNTech
-
2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
-
2022-05-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-05-14
-
2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
- 2022-05-16
- 2022-05-17
- 2022-05-24
- 2022-06-01
- 2022-06-07
- 2022-06-14
-
2022-06-21
Survey response — day 42, dose 4MedDRA: Cough, Oropharyngeal pain, Respiratory symptom, SARS-CoV-2 test negative, Sneezing, Upper respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upper respiratory symptoms - congestion, sore throat, mild cough, sneezing. No fever. Covid rapid home test and PCR negativeMedDRA releases: 2024-11 · check-in free text available
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-05-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-07 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I donated blood the day before vaccination; had the vaccine in the same arm as venipuncture. Venipuncture site is slightly redder/more inflamed than usual
Release 6 — day 14, dose 1
Symptoms: Somewhat itchier flare up of frontal fibrosing alopecia
Release 10 — 6 months, dose 2
Symptoms: Upper respiratory or allergy symptoms
Release 11 — 12 months, dose 2
Symptoms: Frontal fibrosing alopecia Colitis
Release 12 — day 42, dose 4
Symptoms: Upper respiratory symptoms - congestion, sore throat, mild cough, sneezing. No fever. Covid rapid home test and PCR negative
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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 | Adverse reaction | · | · | ✓ |
| SD | Alopecia | ✓ | ✓ | ○ |
| SD | Colitis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Lichen planopilaris | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper respiratory tract congestion | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release