3FU-22338-21531
4 vaccinations
10 coded responses
38 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 922 / CA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-09
Registered in v-safe
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2021-02-09
Dose 1 — Pfizer-BioNTech
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2021-02-09
Health check-in — day 0, dose 1Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Balance issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Craniocerebral injury, Medical counselling, Supportive care — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Traumatic Brain Injury Survivor. We desperately NEED info on COVID and Vaccines as relates to Brain INJURIES! · Healthcare visit (other): Caregiver servicesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-18
Health check-in — day 7, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-03-16
Dose 2 — Pfizer-BioNTech
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Swelling face — Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Swollen puffy face since 2nd vax.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Swelling face — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Puffy faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Middle ear effusion, Pre-existing disease — Feeling: FairFree text: Since second Pfizer jab have had water behind ear drum (and no I have not showereed or washed hair since before 2nd jab). Concerned as I have TBI and Mastoiditis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Middle ear effusion — Feeling: FairFree text: Since 2nd Pfizer jab fluid behind right ear drumMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 7, dose 2MedDRA: Acupuncture, Middle ear effusion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Fluid in right ear · Healthcare visit (other): AcupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
- 2021-04-07
- 2021-04-13
- 2021-04-22
- 2021-04-28
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2021-06-15
Survey response — 3 months, dose 2MedDRA: Anosmia — Feeling: FairFree text: Lessened sense of smell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
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2021-08-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-08-20
Dose 3 — Pfizer-BioNTech
- 2021-09-14
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2021-10-05
Survey response — day 42, dose 3MedDRA: Cognitive disorder, Pre-existing disease — Feeling: GoodFree text: Cognitive decline. (I have TBIs) was given Pregabalin in Aug. (and Baclofen) but stopped after few weeks due to extreme cognitive dysfunction. So don't know which is responsible. No obvious noticeable effects after booster. Sorry lack exact details.MedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — 3 months, dose 3MedDRA: Hypogeusia, Hyposmia — Feeling: FairFree text: before last checkin noticed my senses of smell and taste declining over the past year, they used to be my best senses. Tho no known exposure, many different caregivers in and out of my house, numerous trips to groceries ea. w/different drivers&cars.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
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2022-04-27
Dose 4 — Pfizer-BioNTech
- 2022-04-30
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-19
- 2022-05-26
- 2022-06-03
- 2022-06-09
- 2022-07-28
- 2022-10-30
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-16 | Pfizer-BioNTech | |
| 3 | 2021-08-20 | Pfizer-BioNTech | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Balance issues
Systemic reaction (other): Traumatic Brain Injury Survivor. We desperately NEED info on COVID and Vaccines as relates to Brain INJURIES!
Healthcare visit (other): Caregiver services
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen puffy face since 2nd vax.
Systemic reaction (other): Puffy face
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Since second Pfizer jab have had water behind ear drum (and no I have not showereed or washed hair since before 2nd jab). Concerned as I have TBI and Mastoiditis.
Systemic reaction (other): Since 2nd Pfizer jab fluid behind right ear drum
Release 6 — day 7, dose 2
Release 9 — 3 months, dose 2
Symptoms: Lessened sense of smell.
Release 10 — day 42, dose 3
Symptoms: Cognitive decline. (I have TBIs) was given Pregabalin in Aug. (and Baclofen) but stopped after few weeks due to extreme cognitive dysfunction. So don't know which is responsible. No obvious noticeable effects after booster. Sorry lack exact details. cut off by CDC
Release 10 — 3 months, dose 3
Symptoms: before last checkin noticed my senses of smell and taste declining over the past year, they used to be my best senses. Tho no known exposure, many different caregivers in and out of my house, numerous trips to groceries ea. w/different drivers&cars. cut off by CDC
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 | Acupuncture | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | · | ✓ |
| HCVO | Supportive care | ○ | ✓ | ○ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Craniocerebral injury | ✓ | ✓ | ✓ |
| SRO | Middle ear effusion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release