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ZLH-28695-46521

4 vaccinations 5 coded responses 38 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
546 / WI
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sleep disorder — Feeling: Good · Fatigue or tiredness
    Free text: Interrupted sleep last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-03
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: I have arthritis and it varies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-02
    Survey response — 3 months, dose 2
    MedDRA: Diverticulitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: symptom of diverticulitis but not formally diagnosed. I have an appointment on Monday the 7th with my MD as my first episodes was in April and it lasted 3 weeks but now the symptoms have recurred so will see my Internist. · Healthcare visit (other): will be at the clinic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-02
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-01
    Survey response — 6 months, dose 2
    MedDRA: Colitis microscopic, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Diagnosed via biopsy with Lymphsotic microscopic colitis · Healthcare visit (other): Clinic and colonoscooy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-09-01
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-09-03
  31. 2021-09-09
  32. 2021-09-20
    Dose 3 — Pfizer-BioNTech
  33. 2021-10-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-10-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-10-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-03-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-10
    Dose 4 — Pfizer-BioNTech
  42. 2022-05-14
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-15
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-22
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-07-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-10-09
    Survey response — 6 months, dose 4
    MedDRA: Pain — Feeling: Good
    Free text: Sore knee caps but better now.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2023-04-10
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Pfizer-BioNTech
22021-03-03Pfizer-BioNTech
32021-09-20Pfizer-BioNTech No
42022-04-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-02 Unsuccessful
2021-09-01 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Interrupted sleep last night

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): I have arthritis and it varies.

Release 8 — 3 months, dose 2

2021-06-02

Symptoms: symptom of diverticulitis but not formally diagnosed. I have an appointment on Monday the 7th with my MD as my first episodes was in April and it lasted 3 weeks but now the symptoms have recurred so will see my Internist.
Healthcare visit (other): will be at the clinic

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Diagnosed via biopsy with Lymphsotic microscopic colitis
Healthcare visit (other): Clinic and colonoscooy

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: Sore knee caps but better now.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDColitis microscopic ✓ · ✓
SDDiverticulitis ✓ ✓ ✓
SDPain · · ✓
SROPre-existing disease ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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