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
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 2 — Pfizer-BioNTech
- 2021-01-05
- 2021-01-06
-
2021-01-07
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree 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
-
2021-01-07
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Feeling abnormal — Feeling: Fair · Joint pains, Muscle or body achesFree 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
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-07-06
Survey response — 6 months, dose 2MedDRA: 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, HospitalizationFree text: Symptoms: Lung cancer found June 9 · Healthcare visit (other): Fluid on heart, stomach pain, potassium was critical, found lung cancerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-07-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-12-02
Dose 3 — Pfizer-BioNTech
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech | |
| 3 | 2021-12-02 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — days 1–6 daily, dose 2
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.
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Abdominal pain upper | ✓ | ✓ | ✓ |
| HCVO | Blood potassium | ○ | ✓ | ○ |
| HCVO | Blood potassium abnormal | ✓ | · | ✓ |
| HCVO | Lung neoplasm malignant | ✓ | ✓ | ✓ |
| HCVO | Pericardial effusion | ✓ | · | ✓ |
| SD | Lung neoplasm malignant | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release