4KA-16987-08490
1 vaccination
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 640 / MO
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Pfizer-BioNTech
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2021-01-12
Survey response — day 0, dose 1MedDRA: Headache, Heart rate increased, Hypersensitivity — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: It felt like an allergic reaction was coming on within a minute of the shot. This was accompanied by a rapid pulse. Then a headache started coming on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hypoaesthesia — Feeling: Fair · Site: Pain · Chills, Headache, NauseaFree text: Dizzy and a little numbness feeling on the left side of my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Nausea — Feeling: Good · NauseaFree text: Dizziness that caused me to feel nauseas.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · NauseaFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-04-13
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2021-07-13
Survey response — 6 months, dose 1MedDRA: Balance disorder, Hypersensitivity, Pre-existing disease, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: My allergy reaction to things has intensified. Hives that recur for a few days in a row.I have also noticed that I don't have as good of balance as I did before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): It felt like an allergic reaction was coming on within a minute of the shot. This was accompanied by a rapid pulse. Then a headache started coming on.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy and a little numbness feeling on the left side of my face.
Systemic reaction (other): Dizziness that caused me to feel nauseas.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Release 9 — 6 months, dose 1
Symptoms: My allergy reaction to things has intensified. Hives that recur for a few days in a row.I have also noticed that I don't have as good of balance as I did before.
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 | Balance disorder | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release