4J4-66843-77984
2 vaccinations
9 coded responses
11 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 968 / HI
- Registered
- 2021-07-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-18
Dose 1 — Pfizer-BioNTech
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2021-07-09
Dose 2 — Pfizer-BioNTech
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2021-07-10
Registered in v-safe
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2021-07-10
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased, Chest discomfort, Emergency care, Hepatic pain, Illness, Somnolence, Vision blurred — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Liver pain. My blood sugars are dangerously high Im on medication. Chest discomfort and blurry vision. After the first vaccine I got very sick. Had to go to the hospital. I took almost 20 days to recover I was so sleepy last night. Better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-11
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Blood glucose increased, Chest pain, Diabetes mellitus, Dizziness, Dyspnoea, Emergency care, Hypertension, Malaise, Vision blurred — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Just got home from the hospital. Chest pain, blurry vision, dizziness. I have diabetes. Very weak · Healthcare visit (other): Had to go to the ER hospital high blood sugars, high blood pressure, chest pain. A little breathing difficulties. Im back home but still very sickMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-11
Report sent to call center — days 1–6 daily, 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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2021-07-12
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Chest discomfort, Chest pain, Dizziness, Hepatic pain, Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Going back to queens hospital pain by liver/ off and on chest pain with tightness/dizziness/ weakness · Healthcare visit (other): Leaving for hospital soonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-15
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chest discomfort, Hepatic pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe pain by liver and chest tightness. Off and on pain behind my kneesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Survey response — day 7, dose 2MedDRA: Chest pain, Hepatic pain — Feeling: Poor · Headache, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe pain to liver/ chest pain/MedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-07-23
Survey response — day 14, dose 2MedDRA: Asthenia, Chest pain, Generalised oedema, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Continued chest pain/ swelling to feet and entire body/ weakness.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-30
Survey response — day 21, dose 2MedDRA: Abdominal pain, Asthenia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: WeaknessAbdominal painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Survey response — day 28, dose 2MedDRA: Asthenia, Blood pressure increased, Loss of personal independence in daily activities — Feeling: Fair · Be unable to work or attend school, 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: Still ongoing weakness. Raised blood pressure. Still unable to perform simple task like cooking etc.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — day 28, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-13
- 2021-08-15
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-18 | Pfizer-BioNTech | No |
| 2 | 2021-07-09 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Liver pain. My blood sugars are dangerously high Im on medication. Chest discomfort and blurry vision. After the first vaccine I got very sick. Had to go to the hospital. I took almost 20 days to recover I was so sleepy last night. Better today.
Systemic reaction (other): Just got home from the hospital. Chest pain, blurry vision, dizziness. I have diabetes. Very weak
Healthcare visit (other): Had to go to the ER hospital high blood sugars, high blood pressure, chest pain. A little breathing difficulties. Im back home but still very sick
Systemic reaction (other): Chest pain
Systemic reaction (other): Going back to queens hospital pain by liver/ off and on chest pain with tightness/dizziness/ weakness
Healthcare visit (other): Leaving for hospital soon
Systemic reaction (other): Severe pain by liver and chest tightness. Off and on pain behind my knees
Release 9 — day 7, dose 2
Systemic reaction (other): Severe pain to liver/ chest pain/
Release 9 — day 14, dose 2
Symptoms: Continued chest pain/ swelling to feet and entire body/ weakness.
Release 9 — day 21, dose 2
Symptoms: WeaknessAbdominal pain
Release 9 — day 28, dose 2
Symptoms: Still ongoing weakness. Raised blood pressure. Still unable to perform simple task like cooking etc.
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 | Blood glucose increased | ✓ | ✓ | ✓ |
| HCVO | Chest pain | ✓ | ✓ | ✓ |
| HCVO | Dyspnoea | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Hypertension | ✓ | ✓ | ✓ |
| HCVO | Malaise | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Blood pressure increased | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Generalised oedema | ✓ | · | ✓ |
| SD | Loss of personal independence in daily activities | ✓ | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Hepatic pain | ✓ | ✓ | ✓ |
| SRO | Illness | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release