2H5-27689-80320
4 vaccinations
7 coded responses
38 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 018 / MA
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8EL-30606-37908
Child or adolescent in my care · Female · 2021-12-04
SP6-12091-21778
Child or adolescent in my care · Male · 2022-07-04
Timeline
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2021-04-16
Registered in v-safe
-
2021-04-16
Dose 1 — Pfizer-BioNTech
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-04-18
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
-
2021-05-07
Dose 2 — Pfizer-BioNTech
- 2021-05-07
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
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2021-05-21
Survey response — day 14, dose 2MedDRA: Emergency care, Hypoaesthesia, Migraine, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Experienced numbness and tingling on the right side of my face for 2.5 days (starting 7 days after vaccination) which resulted in an emergency room visit. Diagnosed as atypical migraine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-28
Survey response — day 21, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Multiple instances of facial numbness and tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
- 2021-06-12
-
2021-06-20
Survey response — day 42, dose 2MedDRA: Hypoaesthesia, Muscle twitching, Paraesthesia — Feeling: GoodFree text: I continue to have episodes of numbness and tingling in my face, typically on the right and have since also developed a twitches and occasional spasms in my lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-06
- 2021-11-05
-
2021-12-03
Dose 3 — Pfizer-BioNTech
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-12-05
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Poor · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pain/burningMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-07
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-19
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2021-12-26
Survey response — day 21, dose 3MedDRA: Abdominal discomfort — Feeling: GoodFree text: Mild intermittent stomach upset for about 5 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
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2022-01-07
Survey response — day 35, dose 3MedDRA: Abdominal pain upper, COVID-19, Chills, Headache, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Covid 19 positive with mixed and intermittent symptoms (stomach ache, chest congestion, nasal congestion, headache, the most prevalent. Some prior sore throat and slight chills.MedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-15
- 2022-06-03
-
2022-11-15
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-12-03
- 2023-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Pfizer-BioNTech | |
| 2 | 2021-05-07 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
| 4 | 2022-11-15 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 8 — day 14, dose 2
Symptoms: Experienced numbness and tingling on the right side of my face for 2.5 days (starting 7 days after vaccination) which resulted in an emergency room visit. Diagnosed as atypical migraine.
Release 8 — day 21, dose 2
Symptoms: Multiple instances of facial numbness and tingling
Release 9 — day 42, dose 2
Symptoms: I continue to have episodes of numbness and tingling in my face, typically on the right and have since also developed a twitches and occasional spasms in my lip.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain/burning
Release 10 — day 21, dose 3
Symptoms: Mild intermittent stomach upset for about 5 days.
Release 10 — day 35, dose 3
Symptoms: Covid 19 positive with mixed and intermittent symptoms (stomach ache, chest congestion, nasal congestion, headache, the most prevalent. Some prior sore throat and slight chills.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release