Y5K-11560-14183
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 194 / PA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Registered in v-safe
- 2021-04-01
-
2021-04-06
Survey response — day 14, dose 1MedDRA: Tooth disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: There is a film over my teeth coming from my gums that I cannot explain going to the dentist Friday I hope to God its nothing Ive always take care of my teeth, I would be really really bad if somethings wrong with my teeth · Healthcare visit (other): Need to see the dentist on ThursdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-22
Survey response — 3 months, dose 1MedDRA: Ear pain, Fatigue, Malaise, Pre-existing disease, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very tired, ear aches , congested, not feel well at all. On top of Oh that I do dialysis on Monday Wednesday and Friday and today that I had off I felt terrible Im 74 so Im hope Im not in any kind of danger I have many illnesses congestive hMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-06 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: There is a film over my teeth coming from my gums that I cannot explain going to the dentist Friday I hope to God its nothing Ive always take care of my teeth, I would be really really bad if somethings wrong with my teeth
Healthcare visit (other): Need to see the dentist on Thursday
Release 9 — 3 months, dose 1
Symptoms: Very tired, ear aches , congested, not feel well at all. On top of Oh that I do dialysis on Monday Wednesday and Friday and today that I had off I felt terrible Im 74 so Im hope Im not in any kind of danger I have many illnesses congestive h
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Tooth disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release