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2SL-29590-45388

4 vaccinations 6 coded responses 18 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2021-01-15
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Contusion, Fall, Head banging, Head injury, Swelling — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Nothing to do with vaccination but when I change my clothes I lost balance and fall fell on my back hit the head got bump and bruise but I am ok so far I reported to my doctor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-01-30
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good · Diarrhea
    Free text: May not has anything to do with vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-06
    Survey response — day 14, dose 1
    MedDRA: Chest discomfort, Chills, Dyspnoea, Fatigue, Hyperhidrosis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Chills and sweat short breath tiden chest areaFatigue · Healthcare visit (other): Urine culture EKG
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-06
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-13
    Dose 2 — Pfizer-BioNTech
  14. 2021-02-25
    Survey response — day 7, dose 2
    MedDRA: Hyperhidrosis — Feeling: Good · Chills, Fatigue or tiredness
    Free text: Sweat may not relative to the vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-14
  17. 2021-08-14
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea, Gingivitis, Office visit, Pre-existing disease, Ulcer — Feeling: Poor
    Free text: Ulcer gum infection diarrhea consultation due to chemo treatment
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-22
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu:Pneumonia
  19. 2021-09-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-10-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-23
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  22. 2022-02-20
    Survey response — 6 months, dose 3
    MedDRA: Balance disorder, Fall, Limb injury, Mobility decreased, Trunk injury — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I lost balance used three legs walker and lost balance and slammed down on my right side waist and leg and impact my shoulder right and left and was on bed for last six days, limited and difficult to mobilized my activities. But getting better
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-04-07
    Dose 4 — Moderna
    Co-administered: Other
  24. 2022-04-14
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Adult check-in
  25. 2022-04-30
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-23Pfizer-BioNTech
22021-02-13Pfizer-BioNTech
32021-08-22Pfizer-BioNTech Flu:Pneumonia
42022-04-07Moderna Other

Call center

1 call center case

1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Nothing to do with vaccination but when I change my clothes I lost balance and fall fell on my back hit the head got bump and bruise but I am ok so far I reported to my doctor

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): May not has anything to do with vaccination

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Chills and sweat short breath tiden chest areaFatigue
Healthcare visit (other): Urine culture EKG

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Sweat may not relative to the vaccination

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Ulcer gum infection diarrhea consultation due to chemo treatment

Release 11 — 6 months, dose 3

2022-02-20

Symptoms: I lost balance used three legs walker and lost balance and slammed down on my right side waist and leg and impact my shoulder right and left and was on bed for last six days, limited and difficult to mobilized my activities. But getting better

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
HCVOUnevaluable event ✓ ✓ ✓
SDBalance disorder · · ✓
SDChest discomfort ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ · ✓
SDDyspnoea ✓ ✓ ✓
SDFall · · ✓
SDFatigue ✓ ✓ ✓
SDGingivitis ✓ · ✓
SDHyperhidrosis ✓ ✓ ✓
SDLimb injury · · ✓
SDMobility decreased · · ✓
SDOffice visit ✓ · ✓
SDPre-existing disease ✓ · ✓
SDTrunk injury · · ✓
SDUlcer ✓ · ✓
SROBalance disorder ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROFall ✓ ✓ ✓
SROHead banging ○ ✓ ○
SROHead injury ✓ · ✓
SROHyperhidrosis ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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