Z84-29720-16392
4 vaccinations
2 coded responses
49 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 057 / VT
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Gingival bleeding, Office visit, Pre-existing disease — Feeling: GoodFree text: I'm not sure if this is a symptom or not. I take warfarin as a blood thinner. I had some bleeding of my gums one time, which in over 20 years, I have not experienced. My dr didn't think it was from the vaccine, but I wanted to share that with you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Pfizer-BioNTech
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-08
- 2021-10-05
-
2021-10-07
Dose 3 — Pfizer-BioNTech
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2022-01-06
- 2022-04-07
-
2022-04-13
Dose 4 — Pfizer-BioNTech
- 2022-04-18
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Immunisation reaction, Lethargy — Feeling: GoodFree text: I didn't see a question concerning how I felt the day after I received the vaccine. I didn't feel crummy, but tired and lathargic the next 2 days. That was the first time I had a reaction after any of the vaccines.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-04-28
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
- 2022-10-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Pfizer-BioNTech | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I'm not sure if this is a symptom or not. I take warfarin as a blood thinner. I had some bleeding of my gums one time, which in over 20 years, I have not experienced. My dr didn't think it was from the vaccine, but I wanted to share that with you.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I didn't see a question concerning how I felt the day after I received the vaccine. I didn't feel crummy, but tired and lathargic the next 2 days. That was the first time I had a reaction after any of the vaccines.
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 |
|---|---|---|---|---|
| SRO | Fatigue | · | · | ✓ |
| SRO | Gingival bleeding | ✓ | ✓ | ○ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Lethargy | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release