3U9-76904-34553
2 vaccinations
9 coded responses
13 check-ins
9 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 931 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
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2021-03-08
Registered in v-safe
- 2021-03-08
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Good · Fatigue or tirednessFree text: Congestion near the back of my throat when I lay down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-18
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2021-03-25
Dose 2 — Pfizer-BioNTech
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2021-04-01
Survey response — day 7, dose 2MedDRA: Confusional state, Memory impairment — Feeling: Good · Fatigue or tirednessFree text: Confusion/forgetfulnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 14, dose 2MedDRA: Dizziness — Feeling: FairFree text: Today I feel light headed and cannot turn my head to the right or stand up too quickly without feeling dizzy. It is the 14th day after my 2nd Pfizer vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 21, dose 2MedDRA: Dizziness, Medical counselling, Nausea, Vertigo — Feeling: Fair · 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 consultationFree text: Symptoms: Dizziness, vertigo. Nasuea. · Healthcare visit (other): Telephoned with doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
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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2021-04-22
Survey response — day 28, dose 2MedDRA: Medical counselling, Vertigo positional — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: BPPV--Vertigo · Healthcare visit (other): Internal medicine doctor counsel telephoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — day 35, dose 2MedDRA: Vertigo positional — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had BPPVertigo. All of the symptoms are gone now. My Dr. Said it had nothing to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-06
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2021-06-26
Survey response — 3 months, dose 2MedDRA: Office visit, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: UTI . 3 weeks of antibiotics. · Healthcare visit (other): Doctor visit womens health.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
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2021-09-23
Survey response — 6 months, dose 2MedDRA: Fall, Injury, Rehabilitation therapy, Rest regimen, Stress fracture, Upper limb fracture — Feeling: Good · 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: I fell and fractured my left arm and have a sacral insufficiency. I am on bed rest at a convalescent home. Can't go home because of stairs and no help. Injury occurred on Aug. 19 · Healthcare visit (other): Convalescent home. Assisted living.MedDRA releases: 2024-11 · check-in free text available
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2021-09-23
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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-09-27
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2022-03-27
Survey response — 12 months, dose 2MedDRA: COVID-19, Rhinorrhoea, SARS-CoV-2 test positive, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had asymptomatic Covid. Only sniffles. I wouldn't have known I was sick at all, but I took a home test which was positive, followed up with my Dr. and went to have a formal test at (b)(6) Labs Tent. Positive. I have been isolated for 2 years. · Healthcare visit (other): Pacific LabsMedDRA releases: 2024-11 · check-in free text available
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2022-03-27
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech |
Call center
6 call center cases
6 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion near the back of my throat when I lay down.
Release 6 — day 7, dose 2
Systemic reaction (other): Confusion/forgetfulness
Release 7 — day 14, dose 2
Symptoms: Today I feel light headed and cannot turn my head to the right or stand up too quickly without feeling dizzy. It is the 14th day after my 2nd Pfizer vaccine.
Release 7 — day 21, dose 2
Release 7 — day 28, dose 2
Symptoms: BPPV--Vertigo
Healthcare visit (other): Internal medicine doctor counsel telephone
Release 8 — day 35, dose 2
Symptoms: I had BPPVertigo. All of the symptoms are gone now. My Dr. Said it had nothing to do with the vaccine.
Release 9 — 3 months, dose 2
Symptoms: UTI . 3 weeks of antibiotics.
Healthcare visit (other): Doctor visit womens health.
Release 9 — 6 months, dose 2
Symptoms: I fell and fractured my left arm and have a sacral insufficiency. I am on bed rest at a convalescent home. Can't go home because of stairs and no help. Injury occurred on Aug. 19
Healthcare visit (other): Convalescent home. Assisted living.
Release 11 — 12 months, dose 2
Symptoms: I had asymptomatic Covid. Only sniffles. I wouldn't have known I was sick at all, but I took a home test which was positive, followed up with my Dr. and went to have a formal test at (b)(6) Labs Tent. Positive. I have been isolated for 2 years.
Healthcare visit (other): Pacific Labs
redacted (b)(6)
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Rehabilitation therapy | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Injury | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Rehabilitation therapy | · | · | ✓ |
| SD | Rest regimen | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Stress fracture | · | · | ✓ |
| SD | Upper limb fracture | · | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vertigo positional | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release