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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

  1. 2021-03-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-12
    Registered in v-safe
  4. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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, Hospitalization
    Free 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): ICU
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-12
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 consultation
    Free 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 hospital
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-13
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 consultation
    Free 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 thrombocytopenia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-05-15
    Survey response — day 35, dose 2
    MedDRA: 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 visit
    Free text: Right Upper Extremity numbness and Lower Extremity. Neck pain. Head aches. Horrible fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-15
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-12-23

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Pfizer-BioNTech
22021-04-08Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-12

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

2021-04-13

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

2021-04-14

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

2021-05-15

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

FieldPreferred term2021-092023-042024-11
HCVOHospitalisation ✓ ✓ ✓
HCVOIntensive care ✓ ✓ ✓
HCVOThrombocytopenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SROAnaphylactic reaction ✓ ✓ ✓
SROAnaphylactic shock ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHospitalisation ✓ ✓ ✓
SROPetechiae ✓ ✓ ✓
SROPlatelet count decreased ✓ ✓ ✓
SROSeizure ✓ ✓ ✓
SROThrombocytopenia ✓ ✓ ✓

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