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3HH-28675-55375

3 vaccinations 3 coded responses 10 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
620 / IL
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-05
    Registered in v-safe
  3. 2021-01-05
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-01-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Confusional state, Discomfort, Fatigue, Headache, Pain in jaw — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I was totally symptom free. Then last night at 8pm I felt headache. Within 10 minutes bilateral jaw pain. Then I felt like 100 lb weight on my entire body. I was confused, weak all within an hour. No fever at all. I was 32 hours post shot. At 4 am I was still fatigued. At 10am I feel better but weak. Jaw a little sore. As the hours go by today I getting better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-07
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-01-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Feeling abnormal — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: Felt like I was doing good. Worked last night, didn't realize that I still was a little weak. Kinda brain foggy also. A little better after sleeping.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-01-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-07-06
    Survey response — 6 months, dose 2
    MedDRA: Abdominal pain upper, Blood potassium, Blood potassium abnormal, Lung neoplasm malignant, Pericardial effusion — 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 · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: Lung cancer found June 9 · Healthcare visit (other): Fluid on heart, stomach pain, potassium was critical, found lung cancer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-06
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  15. 2021-07-08
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  16. 2021-12-02
    Dose 3 — Pfizer-BioNTech
  17. 2022-01-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech
22021-01-05Pfizer-BioNTech
32021-12-02Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-07

Systemic reaction (other): I was totally symptom free. Then last night at 8pm I felt headache. Within 10 minutes bilateral jaw pain. Then I felt like 100 lb weight on my entire body. I was confused, weak all within an hour. No fever at all. I was 32 hours post shot. At 4 am I was still fatigued. At 10am I feel better but weak. Jaw a little sore. As the hours go by today I getting better.

2021-01-09

Systemic reaction (other): Felt like I was doing good. Worked last night, didn't realize that I still was a little weak. Kinda brain foggy also. A little better after sleeping.

Release 9 — 6 months, dose 2

2021-07-06

Symptoms: Lung cancer found June 9
Healthcare visit (other): Fluid on heart, stomach pain, potassium was critical, found lung cancer

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
HCVOAbdominal pain upper ✓ ✓ ✓
HCVOBlood potassium ○ ✓ ○
HCVOBlood potassium abnormal ✓ · ✓
HCVOLung neoplasm malignant ✓ ✓ ✓
HCVOPericardial effusion ✓ · ✓
SDLung neoplasm malignant ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓

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