545-32262-54445
4 vaccinations
5 coded responses
44 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 483 / MI
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VGQ-82386-96190
Child or adolescent in my care · Male · 2021-11-14
EDK-21472-94721
Child or adolescent in my care · Male · 2021-11-14
Timeline
-
2021-04-02
Registered in v-safe
-
2021-04-02
Dose 1 — Pfizer-BioNTech
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Pain — Feeling: Good · Muscle or body achesFree text: Low back ache and generally achy all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2021-11-27
Dose 3 — Moderna
- 2021-11-27
-
2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Slight palpitations last night (roughly 5-6 hrs post booster shot)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-29
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Heart racing , consistent heart rate of 100 or above (regular heart rate is 60-70) when I'm not lying downMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-10
-
2022-02-26
Survey response — 3 months, dose 3MedDRA: Brain fog, Disorganised speech, Fatigue, Nasopharyngitis, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Positive COVID test after what felt like a heavy cold, exhaustion. Negative PCR after a week, but continued exhaustion for a few more days. Physically back to normal after 10 days but have word confusion and brain fogMedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-30
-
2022-06-17
Dose 4 — Pfizer-BioNTech
-
2022-06-19
Survey response — days 1–6 daily, dose 4MedDRA: Loss of consciousness, Syncope — Feeling: Fair · Muscle or body achesFree text: Fainted and blacked out for over a minute roughly 12-13 hrs after the shot. May or may not be related to the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-07-01
- 2022-07-10
- 2022-07-15
- 2022-07-22
- 2022-07-29
- 2022-09-16
- 2023-06-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-11-27 | Moderna | No |
| 4 | 2022-06-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Low back ache and generally achy all over
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight palpitations last night (roughly 5-6 hrs post booster shot)
Systemic reaction (other): Heart racing , consistent heart rate of 100 or above (regular heart rate is 60-70) when I'm not lying down
Release 11 — 3 months, dose 3
Symptoms: Positive COVID test after what felt like a heavy cold, exhaustion. Negative PCR after a week, but continued exhaustion for a few more days. Physically back to normal after 10 days but have word confusion and brain fog
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Fainted and blacked out for over a minute roughly 12-13 hrs after the shot. May or may not be related to the vaccine
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 | Brain fog | · | · | ✓ |
| SD | Disorganised speech | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release