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
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2021-01-18
Dose 1 — Pfizer-BioNTech
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2021-02-03
Registered in v-safe
- 2021-02-03
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2021-02-08
Dose 2 — Pfizer-BioNTech
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2021-02-08
Survey response — day 0, dose 2MedDRA: Fatigue, Somnolence — Feeling: Fair · HeadacheFree text: Tired/sleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis — Feeling: GoodFree text: Sweating alotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Feel tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Episodes of Tingling in upper and lower extremitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-03-01
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2021-03-08
Survey response — day 28, dose 2MedDRA: Bruxism — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Some type of nerve issue tense in neck and clinching my jaw alotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — 3 months, dose 2MedDRA: 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 professionalFree 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 personMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — 3 months, 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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2021-08-09
Survey response — 6 months, dose 2MedDRA: Neuropathy peripheral, Office visit, Petechiae — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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 PCPMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-09
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
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2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-05
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2021-10-06
Survey response — day 7, dose 3MedDRA: Petechiae — Feeling: GoodFree text: petechiae but not sure if its related to vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
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2021-10-22
Survey response — day 21, dose 3MedDRA: Petechiae — Feeling: GoodFree text: Petechiae on armsMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — day 35, dose 3MedDRA: Coagulation factor VIII level abnormal, Office visit, Petechiae — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 hemotogistMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-05
- 2021-11-10
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2022-05-13
Dose 4 — Pfizer-BioNTech
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2022-10-04
Dose 5 — Pfizer-BioNTech
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2023-01-03
Survey response — 3 months, dose 5MedDRA: Memory impairment — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
| 5 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Tired/sleepy
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating alot
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feel tired
Systemic reaction (other): Episodes of Tingling in upper and lower extremities
Release 5 — day 28, dose 2
Symptoms: Some type of nerve issue tense in neck and clinching my jaw alot
Release 8 — 3 months, dose 2
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
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
Systemic reaction (other): petechiae but not sure if its related to vaccine
Release 10 — day 21, dose 3
Symptoms: Petechiae on arms
Release 10 — day 35, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Bruxism | ✓ | ✓ | ✓ |
| SD | Coagulation factor VIII level abnormal | · | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Petechiae | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release