4M9-20571-33316
1 vaccination
8 coded responses
12 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 027 / MA
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-20
Dose 1 — Pfizer-BioNTech
-
2021-04-22
Registered in v-safe
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2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Fatigue, Heart rate increased, Hypoaesthesia, Immediate post-injection reaction, Immunisation reaction, Injection site hypoaesthesia, Injection site paraesthesia, Medical observation, Palpitations, Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Yes. I experienced an adverse reaction 10 to 15 mins after my shot on Tuesday the 20th. It was horrible. Chest discomfort, racing heart rate (high pulse), numbness/tingling from the shot site to my middle finger, below my left knee down to my left foot then crossed over to my right foot. It felt like someone was pouring sand pebbles across my chest, and it felt like someone took a pencil and drew a line from the shot site to my fingers . They had to observe me for appx 2 hours, and they administered an EKG. This experience was scary. They allowed my husband to come in the room with me. I was so afraid to sleep Tuesday night because I didnt know what was going to happen. I had major fatigue on Wednesday, but it · Healthcare visit (other): The care was done at the vaccine site at (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Muscular weakness, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: Since the shot on Tuesday, I noticed that the upper left side of my body feels warm , my legs become a bit weak, and I feel like I have the shakes; no chills, no fever. It occurs every evening after 5 or 6 pm. It last for appx 2 hours then subsides. What in the world is that ?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: So much better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
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2021-04-27
Survey response — day 7, dose 1MedDRA: Axillary pain, Pain in extremity — Feeling: Good · Muscle or body achesFree text: I have this pain inside of my left armpit . I noticed it yesterday, but didnt think too much about. Then it became more noticeable. Its the same arm where my shot was given , but not at the site of the shot .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 14, dose 1MedDRA: Dyspnoea — Feeling: GoodFree text: I noticed shortness of breath for a few days while walking , however, it has subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 21, dose 1MedDRA: Arthralgia, Injection site warmth, Rash macular, Self-medication, Skin burning sensation — Feeling: GoodFree text: Sunday, May 9 burning/ heat on the left side of my neck area , upper chest , and near my collar bone. 2 red splotches / redness; no itching. Only there and no where else on my body. I used calamine lotion and it went away on Tuesday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — day 28, dose 1MedDRA: Fatigue — Feeling: GoodFree text: I noticed that Im more tired than normal; especially during and after my walk. I didnt experience that prior to my shot .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
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2021-06-01
Survey response — day 42, dose 1MedDRA: Fatigue, Heart rate increased, Somnolence — Feeling: GoodFree text: More tired/ sleepy than normal. Especially during my walks and exercise. Fast heartbeat for appx 15-20 secs. S/w cardiologist. The fast heartbeats are much better, but the exhaustion still exists.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-20
- 2022-04-03
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2023-05-03
Call successfulOther
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Yes. I experienced an adverse reaction 10 to 15 mins after my shot on Tuesday the 20th. It was horrible. Chest discomfort, racing heart rate (high pulse), numbness/tingling from the shot site to my middle finger, below my left knee down to my left foot then crossed over to my right foot. It felt like someone was pouring sand pebbles across my chest, and it felt like someone took a pencil and drew a line from the shot site to my fingers . They had to observe me for appx 2 hours, and they administered an EKG. This experience was scary. They allowed my husband to come in the room with me. I was so afraid to sleep Tuesday night because I didnt know what was going to happen. I had major fatigue on Wednesday, but it
Healthcare visit (other): The care was done at the vaccine site at (b)(6)
redacted (b)(6)
Systemic reaction (other): Since the shot on Tuesday, I noticed that the upper left side of my body feels warm , my legs become a bit weak, and I feel like I have the shakes; no chills, no fever. It occurs every evening after 5 or 6 pm. It last for appx 2 hours then subsides. What in the world is that ?
Systemic reaction (other): So much better today
Release 8 — day 7, dose 1
Systemic reaction (other): I have this pain inside of my left armpit . I noticed it yesterday, but didnt think too much about. Then it became more noticeable. Its the same arm where my shot was given , but not at the site of the shot .
Release 8 — day 14, dose 1
Symptoms: I noticed shortness of breath for a few days while walking , however, it has subsided.
Release 8 — day 21, dose 1
Symptoms: Sunday, May 9 burning/ heat on the left side of my neck area , upper chest , and near my collar bone. 2 red splotches / redness; no itching. Only there and no where else on my body. I used calamine lotion and it went away on Tuesday.
Release 8 — day 28, dose 1
Symptoms: I noticed that Im more tired than normal; especially during and after my walk. I didnt experience that prior to my shot .
Release 8 — day 42, dose 1
Symptoms: More tired/ sleepy than normal. Especially during my walks and exercise. Fast heartbeat for appx 15-20 secs. S/w cardiologist. The fast heartbeats are much better, but the exhaustion still exists.
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 observation | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Skin burning sensation | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Injection site hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Medical observation | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release