39K-16045-22923
5 vaccinations
4 coded responses
42 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 973 / OR
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: GoodFree text: More fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-04-09
-
2021-07-09
Survey response — 6 months, dose 2MedDRA: Colonoscopy, Hospitalisation, Intestinal perforation, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Had a perforated bowel during a routine colonoscopy. 5 day hospitalization. Bowel surgery.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-09
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)
-
2021-07-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: GoodFree text: Woke up with bed drenched in sweat at 0200no other symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-17
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
-
2022-05-11
Dose 4 — Pfizer-BioNTech
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-06-17
- 2022-06-23
-
2022-09-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-11
Survey response — 6 months, dose 4MedDRA: Cognitive disorder, Intensive care, Ischaemic stroke, Occipital lobe stroke, Speech disorder, Thrombosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Oct 14, 22I had an ischemic stroketemporal and occipital lobes hit. Blood clot traveled from my right leg. No noticeable DVT symptoms at all. Some speech and cognitive impairment. Had last Phizer booster on 9/23/22. This was my 5th shot. · Healthcare visit (other): Neuro ICU for 4 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-11 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — day 28, dose 2
Symptoms: More fatigue
Release 9 — 6 months, dose 2
Symptoms: Had a perforated bowel during a routine colonoscopy. 5 day hospitalization. Bowel surgery.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Woke up with bed drenched in sweat at 0200no other symptoms
Release 12 — 6 months, dose 4
Symptoms: Oct 14, 22I had an ischemic stroketemporal and occipital lobes hit. Blood clot traveled from my right leg. No noticeable DVT symptoms at all. Some speech and cognitive impairment. Had last Phizer booster on 9/23/22. This was my 5th shot.
Healthcare visit (other): Neuro ICU for 4 days
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 |
|---|---|---|---|---|
| HCVO | Intensive care | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Colonoscopy | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Intestinal perforation | ✓ | ✓ | ✓ |
| SD | Ischaemic stroke | · | · | ✓ |
| SD | Occipital lobe stroke | · | · | ✓ |
| SD | Speech disorder | · | · | ✓ |
| SD | Surgery | ✓ | ✓ | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release