YR6-30721-79791
4 vaccinations
5 coded responses
35 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 2MedDRA: Chills — Feeling: GoodFree text: She has had intermittent chills for the last 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Yesterday she had 7 bowel movements, all diarrhea. Went to the ER. Negative covid test. No fever. Today, she vomited twice after waking up and had 1 bowel movement that was diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-19
-
2021-10-21
Dose 3 — Pfizer-BioNTech
- 2021-12-20
- 2021-12-23
- 2022-03-19
-
2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
-
2022-05-04
Survey response — day 14, dose 4MedDRA: Aspiration, Cardiac failure congestive, Pulmonary oedema — Feeling: GoodFree text: Fluid in left lower lung, probably from aspiration or beginning of congestive heart failure, both unrelated to booster because symptoms started 2 weeks prior to booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
-
2022-07-20
Survey response — 3 months, dose 4MedDRA: Joint swelling, Rehabilitation therapy, Thrombosis, Wheelchair user — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Blood clots in right knee from likely bumping legs on wheelchair supports while in rehab last monthMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
-
2023-04-20
Survey response — 12 months, dose 4MedDRA: COVID-19, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-20
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2023-04-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-04-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-09 | Successful 2023-04-21 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-04-20 | Successful 2023-04-21 |
Does not wish to fill out VAERS report |
Free text
Release 6 — day 14, dose 2
Symptoms: She has had intermittent chills for the last 3 days.
Release 7 — day 21, dose 2
Symptoms: Yesterday she had 7 bowel movements, all diarrhea. Went to the ER. Negative covid test. No fever. Today, she vomited twice after waking up and had 1 bowel movement that was diarrhea.
Release 11 — day 14, dose 4
Symptoms: Fluid in left lower lung, probably from aspiration or beginning of congestive heart failure, both unrelated to booster because symptoms started 2 weeks prior to booster.
Release 12 — 3 months, dose 4
Symptoms: Blood clots in right knee from likely bumping legs on wheelchair supports while in rehab last month
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 | Office visit | · | · | ✓ |
| SD | Aspiration | · | · | ✓ |
| SD | Cardiac failure congestive | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Pulmonary oedema | · | · | ✓ |
| SD | Rehabilitation therapy | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Wheelchair user | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release