3GY-18675-08750
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 711 / LA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Survey response — day 0, dose 1MedDRA: Injection site haemorrhage — Feeling: GoodFree text: The bandage for the injection site showed blood, size about 0.5cmx1cmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-22
-
2021-01-27
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: GoodFree text: I experienced a very short period of time motion dizziness started on 1/23/21, around 10-12 times a day for the past two days. But Im getting better today. I only experienced twice today. It happened when I turning my head or standup from sitting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Survey response — day 35, dose 2MedDRA: Dizziness — Feeling: FairFree text: Dizziness for the past two days, not all the time, about 10-20 times a day, it stays a couple seconds each time. Not related with position. Blood pressure is normal 120/78.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-05-05
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Back pain — Feeling: GoodFree text: Back painMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-11
-
2021-10-16
Survey response — day 21, dose 3MedDRA: Palpitations — Feeling: GoodFree text: Experienced palpitation about 20-30 seconds once.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-23
- 2021-11-01
- 2021-11-06
- 2022-03-28
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): The bandage for the injection site showed blood, size about 0.5cmx1cm
Release 2 — day 14, dose 1
Symptoms: I experienced a very short period of time motion dizziness started on 1/23/21, around 10-12 times a day for the past two days. But Im getting better today. I only experienced twice today. It happened when I turning my head or standup from sitting.
Release 5 — day 35, dose 2
Symptoms: Dizziness for the past two days, not all the time, about 10-20 times a day, it stays a couple seconds each time. Not related with position. Blood pressure is normal 120/78.
Release 9 — 6 months, dose 2
Symptoms: Back pain
Release 10 — day 21, dose 3
Symptoms: Experienced palpitation about 20-30 seconds once.
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 |
|---|---|---|---|---|
| SD | Back pain | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Injection site haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release