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3U9-70944-51267

5 vaccinations 11 coded responses 22 check-ins 10 free-text entries 3 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
932 / CA
Registered
2021-02-03
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-03
    Registered in v-safe
  3. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-08
    Dose 2 — Pfizer-BioNTech
  5. 2021-02-08
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Somnolence — Feeling: Fair · Headache
    Free text: Tired/sleepy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Good
    Free text: Sweating alot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Feel tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to work
    Free text: Episodes of Tingling in upper and lower extremities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-15
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache
    Adult check-in
  12. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-08
    Survey response — day 28, dose 2
    MedDRA: Bruxism — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some type of nerve issue tense in neck and clinching my jaw alot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-10
    Survey response — 3 months, dose 2
    MedDRA: Loss of personal independence in daily activities, Muscle spasms, Neuropathy peripheral, Office visit, Petechiae — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Neuropathy in all 4 extremities are worse. Now I'm getting spots of petechiae on my arms and muscle cramping which is affect my ability to ride my motorcycle · Healthcare visit (other): In person
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-10
    Report sent to call center — 3 months, 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)
  16. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Neuropathy peripheral, Office visit, Petechiae — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Neuropathy in both my feet and legsPetechiae on arms legs even wake up with it on my face can corner of my eye · Healthcare visit (other): In person with my PCP
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-09
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-12
  19. 2021-09-29
    Dose 3 — Pfizer-BioNTech
  20. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-10-06
    Survey response — day 7, dose 3
    MedDRA: Petechiae — Feeling: Good
    Free text: petechiae but not sure if its related to vaccine
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-10-22
    Survey response — day 21, dose 3
    MedDRA: Petechiae — Feeling: Good
    Free text: Petechiae on arms
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-03
    Survey response — day 35, dose 3
    MedDRA: Coagulation factor VIII level abnormal, Office visit, Petechiae — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Petechiae. Had labs done my coagulation factor VIII was abnormal possible hemophilia waiting for revisit with hemotologist · Healthcare visit (other): In person with hemotogist
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-03
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-11-05
  30. 2021-11-10
  31. 2022-05-13
    Dose 4 — Pfizer-BioNTech
  32. 2022-10-04
    Dose 5 — Pfizer-BioNTech
  33. 2023-01-03
    Survey response — 3 months, dose 5
    MedDRA: Memory impairment — Feeling: Good
    MedDRA releases: 2024-11
  34. 2023-04-04
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Pfizer-BioNTech
22021-02-08Pfizer-BioNTech
32021-09-29Pfizer-BioNTech No
42022-05-13Pfizer-BioNTech No
52022-10-04Pfizer-BioNTech No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Tired/sleepy

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Sweating alot

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Feel tired

2021-02-11

Systemic reaction (other): Episodes of Tingling in upper and lower extremities

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Some type of nerve issue tense in neck and clinching my jaw alot

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Neuropathy in all 4 extremities are worse. Now I'm getting spots of petechiae on my arms and muscle cramping which is affect my ability to ride my motorcycle
Healthcare visit (other): In person

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Neuropathy in both my feet and legsPetechiae on arms legs even wake up with it on my face can corner of my eye
Healthcare visit (other): In person with my PCP

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): petechiae but not sure if its related to vaccine

Release 10 — day 21, dose 3

2021-10-22

Symptoms: Petechiae on arms

Release 10 — day 35, dose 3

2021-11-03

Symptoms: Petechiae. Had labs done my coagulation factor VIII was abnormal possible hemophilia waiting for revisit with hemotologist
Healthcare visit (other): In person with hemotogist

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
HCVOOffice visit ✓ ✓ ✓
SDBruxism ✓ ✓ ✓
SDCoagulation factor VIII level abnormal · · ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDMemory impairment · · ✓
SDMuscle spasms ✓ ✓ ✓
SDNeuropathy peripheral ✓ ✓ ✓
SDPetechiae ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPetechiae · · ✓
SROSomnolence ✓ ✓ ✓

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