Z6M-18919-69099
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 51-55
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Dose 2 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Asthma — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workFree text: Worsening asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 7, dose 2MedDRA: Asthma — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Asthma, on oral prednisone nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 14, dose 2MedDRA: Asthma, Pain, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: After end of prednisone burstv Low grade fevers returned, lower now, 98 degrees (am usually 96). Mild achiness. Worsening asthma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 21, dose 2MedDRA: Asthma, Inhalation therapy, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Worsening asthma, used up rescue nhaler. Doing several nebulizer treatments a day - evennwhen not active. Still getting 99 degree fevers every day. My normal temp is 96.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — day 28, dose 2MedDRA: Dyspnoea, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Shortness of breath, needing more nebulizer and rescue inhaler doses, more fevers. I had a negative covid test come back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-30
- 2021-06-16
- 2021-09-20
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Worsening asthma
Release 6 — day 7, dose 2
Systemic reaction (other): Asthma, on oral prednisone now
Release 6 — day 14, dose 2
Symptoms: After end of prednisone burstv Low grade fevers returned, lower now, 98 degrees (am usually 96). Mild achiness. Worsening asthma.
Release 7 — day 21, dose 2
Symptoms: Worsening asthma, used up rescue nhaler. Doing several nebulizer treatments a day - evennwhen not active. Still getting 99 degree fevers every day. My normal temp is 96.
Release 7 — day 28, dose 2
Symptoms: Shortness of breath, needing more nebulizer and rescue inhaler doses, more fevers. I had a negative covid test come back.
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 | Asthma | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Inhalation therapy | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release