3NA-23622-90066
2 vaccinations
5 coded responses
6 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 844 / UT
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Dose 2 — Pfizer-BioNTech
-
2021-02-02
Registered in v-safe
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2021-02-02
Survey response — day 14, dose 2MedDRA: Condition aggravated, Emergency care, Feeling abnormal, Immediate post-injection reaction, Pain, Pre-existing disease, Syncope — Feeling: Poor · Be unable to work, 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: Symptoms: I have Lupus and since receiving the 2nd vaccine dose I have been having a lupus flare. I was in bed for 7 days feeling like I wanted to die from all the pain. They watched me in the ER for 1.5 hours after my second shot · Healthcare visit (other): They also watched me in the ER for 1.5 hours after getting my second dose since the first dose made me feel like I was going to pass out and caused all over pain about 10 minutes after dose administration. After 1st dose the pain improved after about 3 days. With the second dose the pain started again about 10 minutes after shot and the pain continues. I am now in a lupus flare and am being treated with steroids.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 14, 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)
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2021-02-03
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Condition aggravated, Feeding disorder, Malaise, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: I am just so sick I feel like Im dying. Lupus flare and now my stomach is so sick. I cant eat anything or I feel so sick. · Healthcare visit (other): I want to go to the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 21, 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)
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2021-02-12
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Feeding disorder, Gastrooesophageal reflux disease, Mobility decreased, Nausea, Pain, Pre-existing disease, Systemic lupus erythematosus, Unevaluable event — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Lupus flare still there. Pain everywhere. This past week I have been unable to eat anything. Anything I eat causes nausea, stomach pain, and acid reflux. It is like the symptoms I have had before with SIBO. I am in bed. Cant move. · Healthcare visit (other): I should probably just be hospitalized at this point.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 28, 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)
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2021-02-17
Survey response — day 35, dose 2MedDRA: Dyspnoea, Malaise, Oropharyngeal pain, Systemic lupus erythematosus, Unevaluable event — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visitFree text: Symptoms: SIBO persists and lupus pain. Throat pain since 1st vaccine shot worsened with 2nd shot. I feel terrible. Im in bed most of the day and very limited food I am able to eat. · Healthcare visit (other): I want to be admitted to the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — day 35, 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)
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2021-02-26
Survey response — day 42, dose 2MedDRA: Condition aggravated, Gastrointestinal bacterial overgrowth, Medical counselling, Pre-existing disease, Red blood cell sedimentation rate increased, Steroid therapy, Systemic lupus erythematosus — Feeling: Poor · Be unable to work, 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: Same flare and SIBO. Still battling. My rheumatologist and primary care doctor said the lupus flare was from the 2nd Pfizer vaccine. My Sed rate was elevated and lupus flared. Had to be put on steroids. Then I had a SIBO flare. Taking xifaxanMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Report sent to call center — day 42, 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
- 2021-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech |
Call center
5 call center cases
5 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 2
Symptoms: I have Lupus and since receiving the 2nd vaccine dose I have been having a lupus flare. I was in bed for 7 days feeling like I wanted to die from all the pain. They watched me in the ER for 1.5 hours after my second shot
Healthcare visit (other): They also watched me in the ER for 1.5 hours after getting my second dose since the first dose made me feel like I was going to pass out and caused all over pain about 10 minutes after dose administration. After 1st dose the pain improved after about 3 days. With the second dose the pain started again about 10 minutes after shot and the pain continues. I am now in a lupus flare and am being treated with steroids.
Release 3 — day 21, dose 2
Symptoms: I am just so sick I feel like Im dying. Lupus flare and now my stomach is so sick. I cant eat anything or I feel so sick.
Healthcare visit (other): I want to go to the hospital
Release 4 — day 28, dose 2
Symptoms: Lupus flare still there. Pain everywhere. This past week I have been unable to eat anything. Anything I eat causes nausea, stomach pain, and acid reflux. It is like the symptoms I have had before with SIBO. I am in bed. Cant move.
Healthcare visit (other): I should probably just be hospitalized at this point.
Release 4 — day 35, dose 2
Symptoms: SIBO persists and lupus pain. Throat pain since 1st vaccine shot worsened with 2nd shot. I feel terrible. Im in bed most of the day and very limited food I am able to eat.
Healthcare visit (other): I want to be admitted to the hospital
Release 4 — day 42, dose 2
Symptoms: Same flare and SIBO. Still battling. My rheumatologist and primary care doctor said the lupus flare was from the 2nd Pfizer vaccine. My Sed rate was elevated and lupus flared. Had to be put on steroids. Then I had a SIBO flare. Taking xifaxan
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 | Condition aggravated | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| HCVO | Pain | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| HCVO | Syncope | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Feeding disorder | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Gastrointestinal bacterial overgrowth | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Red blood cell sedimentation rate increased | ✓ | ✓ | ✓ |
| SD | Steroid therapy | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release