44A-78506-91521
4 vaccinations
3 coded responses
43 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 021 / MA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-02-09
Registered in v-safe
-
2021-02-09
Survey response — day 7, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: PainFree text: I have a bruise at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Condition aggravated, Frequent bowel movements, Nausea, Pre-existing disease, Rhinorrhoea — Feeling: Good · Site: Pain · HeadacheFree text: Last evening post #2, I had what I think was a Mast Cell attack. I have Mast Cell Activation Syndrome. My attacks consist of severe abdominal pain, nausea, multiple bowel movements and a runny nose. I am not sure if i can relate it to the vaccine or maybe it was something I ate. I just wanted to document here.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-10-01
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-31
-
2022-04-01
Survey response — 6 months, dose 3MedDRA: Amnesia, Herpes zoster, Transient global amnesia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Diagnosed with Transient Global Amnesia, after an episode of memory loss in January. Diagnosed with shingles in February.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-04-06
-
2022-04-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-07-08
Dose 4 — Pfizer-BioNTech
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-17
- 2022-07-22
- 2022-07-31
- 2022-08-05
- 2022-08-12
- 2022-08-19
- 2022-10-07
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-07-08 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): I have a bruise at the injection site
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Last evening post #2, I had what I think was a Mast Cell attack. I have Mast Cell Activation Syndrome. My attacks consist of severe abdominal pain, nausea, multiple bowel movements and a runny nose. I am not sure if i can relate it to the vaccine or maybe it was something I ate. I just wanted to document here.
Release 11 — 6 months, dose 3
Symptoms: Diagnosed with Transient Global Amnesia, after an episode of memory loss in January. Diagnosed with shingles in February.
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 |
|---|---|---|---|---|
| SD | Amnesia | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Transient global amnesia | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release