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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

  1. 2021-06-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-07-09
    Dose 2 — Pfizer-BioNTech
  3. 2021-07-10
    Registered in v-safe
  4. 2021-07-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  5. 2021-07-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 visit
    Free 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 sick
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-11
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-07-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain — Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-07-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 professional
    Free 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 soon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-07-14
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  10. 2021-07-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Severe pain by liver and chest tightness. Off and on pain behind my knees
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-07-16
    Survey response — day 7, dose 2
    MedDRA: Chest pain, Hepatic pain — Feeling: Poor · Headache, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severe pain to liver/ chest pain/
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-07-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2021-07-23
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Chest pain, Generalised oedema, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Continued chest pain/ swelling to feet and entire body/ weakness.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-07-30
    Survey response — day 21, dose 2
    MedDRA: Abdominal pain, Asthenia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: WeaknessAbdominal pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-08-06
    Survey response — day 28, dose 2
    MedDRA: 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 consultation
    Free 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
  16. 2021-08-06
    Report sent to call center — day 28, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2021-08-13
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-08-15
  19. 2021-08-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-18Pfizer-BioNTech No
22021-07-09Pfizer-BioNTech No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-07-10

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.

2021-07-11

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

2021-07-12

Systemic reaction (other): Chest pain

2021-07-14

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

2021-07-15

Systemic reaction (other): Severe pain by liver and chest tightness. Off and on pain behind my knees

Release 9 — day 7, dose 2

2021-07-16

Systemic reaction (other): Severe pain to liver/ chest pain/

Release 9 — day 14, dose 2

2021-07-23

Symptoms: Continued chest pain/ swelling to feet and entire body/ weakness.

Release 9 — day 21, dose 2

2021-07-30

Symptoms: WeaknessAbdominal pain

Release 9 — day 28, dose 2

2021-08-06

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

FieldPreferred term2021-092023-042024-11
HCVOBlood glucose increased ✓ ✓ ✓
HCVOChest pain ✓ ✓ ✓
HCVODyspnoea ✓ ✓ ✓
HCVOEmergency care ✓ ✓ ✓
HCVOHypertension ✓ ✓ ✓
HCVOMalaise ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal pain ✓ · ✓
SDAsthenia ✓ · ✓
SDBlood pressure increased ✓ · ✓
SDChest pain ✓ · ✓
SDGeneralised oedema ✓ · ✓
SDLoss of personal independence in daily activities ✓ · ✓
SDPeripheral swelling ✓ · ✓
SROArthralgia ✓ · ✓
SROAsthenia ✓ ✓ ✓
SROBlood glucose increased ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODiabetes mellitus ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROHepatic pain ✓ ✓ ✓
SROIllness ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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