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2WD-75236-84332

5 vaccinations 7 coded responses 39 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
306 / GA
Registered
2021-02-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-07
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  5. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-27
    Dose 2 — Pfizer-BioNTech
  12. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  26. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-10-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-13
    Survey response — day 14, dose 3
    MedDRA: Office visit, Retinal artery thrombosis — Feeling: Good
    Free text: Eye problems due a blood clot in my eye. I am now seeing a retina specialist. Also, sonce the third vaccine, my husband has had pink eye. He too is seeing a doctor. 10 days and he has not been able to get rid of it. Yesterday they put him on steroids
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-18
    Survey response — day 21, dose 3
    MedDRA: Blood disorder, Blood test abnormal — Feeling: Good
    Free text: Tested positive for Factor give blood disorder.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-25
    Survey response — day 28, dose 3
    MedDRA: Factor V Leiden mutation — Feeling: Good
    Free text: I have been diagnosed with a genetic blood disorder called factor five. It is a thick blood disorder that causes blood clots. It has nothing to do with the Pfizer Vaccine. Several family members have this disorder.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-27
    Survey response — 3 months, dose 3
    MedDRA: Cough, Nasal disorder — Feeling: Good
    Free text: Dry cough and nasal dymgoms
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-03-29
    Survey response — 6 months, dose 3
    MedDRA: Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: I had a cough for four months. Still unsure of the origin of the problem. · Healthcare visit (other): M focal office visits
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-03-29
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  38. 2022-03-30
  39. 2022-03-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  40. 2022-04-20
    Dose 4 — Pfizer-BioNTech
  41. 2022-05-15
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-06-01
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-07-20
    Survey response — 3 months, dose 4
    MedDRA: Cough, Eye pain, Hypersomnia, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test — Feeling: Good · Be unable to do your normal daily activities
    Free text: I tested isotope gor Covid July 6 - July 17. Cold symptoms eyes sore. Slept two days. Then, just cold symptoms. Runny nose and loose cough.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-09
    Dose 5 — Pfizer-BioNTech
  47. 2022-10-19
    Survey response — 6 months, dose 4
    MedDRA: COVID-19, Dyschromatopsia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had Vobid July 6-17. Aldo, I have been referred to a Neuro Opthamologist to be seen prior to Nov 10th for distortion in visual colors. · Healthcare visit (other): Retinal doctor visit. He referred me and stated I needed a conduction with another doctor prior to receiving another treatment from him.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-10-19
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  49. 2022-10-20
  50. 2023-04-22
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-07Pfizer-BioNTech
22021-02-27Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No
42022-04-20Pfizer-BioNTech No
52022-10-09Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — day 14, dose 3

2021-10-13

Symptoms: Eye problems due a blood clot in my eye. I am now seeing a retina specialist. Also, sonce the third vaccine, my husband has had pink eye. He too is seeing a doctor. 10 days and he has not been able to get rid of it. Yesterday they put him on steroids cut off by CDC

Release 10 — day 21, dose 3

2021-10-18

Symptoms: Tested positive for Factor give blood disorder.

Release 10 — day 28, dose 3

2021-10-25

Symptoms: I have been diagnosed with a genetic blood disorder called factor five. It is a thick blood disorder that causes blood clots. It has nothing to do with the Pfizer Vaccine. Several family members have this disorder.

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Dry cough and nasal dymgoms

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: I had a cough for four months. Still unsure of the origin of the problem.
Healthcare visit (other): M focal office visits

Release 12 — 3 months, dose 4

2022-07-20

Symptoms: I tested isotope gor Covid July 6 - July 17. Cold symptoms eyes sore. Slept two days. Then, just cold symptoms. Runny nose and loose cough.

Release 12 — 6 months, dose 4

2022-10-19

Symptoms: I had Vobid July 6-17. Aldo, I have been referred to a Neuro Opthamologist to be seen prior to Nov 10th for distortion in visual colors.
Healthcare visit (other): Retinal doctor visit. He referred me and stated I needed a conduction with another doctor prior to receiving another treatment from him.

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 · · ✓
SDBlood disorder · · ✓
SDBlood test abnormal · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDyschromatopsia · · ✓
SDEye pain · · ✓
SDFactor V Leiden mutation · · ✓
SDHypersomnia · · ✓
SDNasal disorder · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDRetinal artery thrombosis · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test · · ✓

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