3GH-22706-37225
2 vaccinations
4 coded responses
4 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 712 / LA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Dose 2 — Pfizer-BioNTech
-
2021-04-12
Registered in v-safe
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Anaphylactic shock, Hospitalisation, Platelet count decreased, Seizure — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Systemic reaction (other): I was admitted into the hospital with anaphylactic shock after my vaccine and had seizures and a severe drop in platelets · Healthcare visit (other): ICUMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Anaphylactic reaction, Hospitalisation, Thrombocytopenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): I am still on steroids from the anaphylactic reaction I had from the 2nd vaccine · Healthcare visit (other): I have an Ultrasound scheduled for my spleen and liver due to the thrombocytopenia I experienced after the vaccine while in the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Contusion, Feeling abnormal, Hospitalisation, Intensive care, Petechiae, Thrombocytopenia — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Continued brain fog. Bruising of my skin. Petichia · Healthcare visit (other): My hospital stay in ICU was from April 8 the day of injection to April 11 due to thrombocytopeniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-15
Survey response — day 35, dose 2MedDRA: Fatigue, Headache, Hypoaesthesia, Neck pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Right Upper Extremity numbness and Lower Extremity. Neck pain. Head aches. Horrible fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech |
Call center
4 call center cases
4 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I was admitted into the hospital with anaphylactic shock after my vaccine and had seizures and a severe drop in platelets
Healthcare visit (other): ICU
Systemic reaction (other): I am still on steroids from the anaphylactic reaction I had from the 2nd vaccine
Healthcare visit (other): I have an Ultrasound scheduled for my spleen and liver due to the thrombocytopenia I experienced after the vaccine while in the hospital
Systemic reaction (other): Continued brain fog. Bruising of my skin. Petichia
Healthcare visit (other): My hospital stay in ICU was from April 8 the day of injection to April 11 due to thrombocytopenia
Release 8 — day 35, dose 2
Symptoms: Right Upper Extremity numbness and Lower Extremity. Neck pain. Head aches. Horrible fatigue
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 | Hospitalisation | ✓ | ✓ | ✓ |
| HCVO | Intensive care | ✓ | ✓ | ✓ |
| HCVO | Thrombocytopenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SRO | Anaphylactic reaction | ✓ | ✓ | ✓ |
| SRO | Anaphylactic shock | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Petechiae | ✓ | ✓ | ✓ |
| SRO | Platelet count decreased | ✓ | ✓ | ✓ |
| SRO | Seizure | ✓ | ✓ | ✓ |
| SRO | Thrombocytopenia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release