ZY3-24110-64723
4 vaccinations
3 coded responses
36 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 535 / WI
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-05
Dose 1 — Pfizer-BioNTech
-
2021-02-14
Registered in v-safe
- 2021-02-14
- 2021-02-19
-
2021-02-26
Dose 2 — Pfizer-BioNTech
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Diverticulitis, Pre-existing disease — Feeling: Fair · DiarrheaFree text: I have diverticulitis, and sense this may be a flare up and not related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-27
-
2021-04-03
Survey response — day 35, dose 2MedDRA: Gastrointestinal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Intestinal cramping last week. Think it was related to colonoscopy March 15. Dietary changes relieved symptoms. Doubt it was related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-05-28
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Arthritis, Arthropod bite, COVID-19, Human anaplasmosis, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Anaplasmosis from tic bite (high fever [103]which lessened with antibiotics) currently on Doxycycline. Also severe shoulder arthritis. Misdiagnosed with pneumonia. 3 COVID tests done, all negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-27
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-01
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-31
-
2022-04-15
Dose 4 — Pfizer-BioNTech
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-22
- 2022-05-27
- 2022-07-17
- 2022-10-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have diverticulitis, and sense this may be a flare up and not related to the vaccine.
Release 6 — day 35, dose 2
Symptoms: Intestinal cramping last week. Think it was related to colonoscopy March 15. Dietary changes relieved symptoms. Doubt it was related to vaccine.
Release 9 — 6 months, dose 2
Symptoms: Anaplasmosis from tic bite (high fever [103]which lessened with antibiotics) currently on Doxycycline. Also severe shoulder arthritis. Misdiagnosed with pneumonia. 3 COVID tests done, all negative.
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 | Arthritis | ✓ | · | ✓ |
| SD | Arthropod bite | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SD | Human anaplasmosis | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SRO | Diverticulitis | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release