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55W-29775-89156

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
850 / AZ
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2020-12-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-18
    Registered in v-safe
  3. 2021-01-18
    Dose 2 — Pfizer-BioNTech
  4. 2021-01-18
    Survey response — day 0, dose 2
    MedDRA: Dry mouth, Hot flush — Feeling: Good · Fatigue or tiredness
    Free text: Hot flashes lasting a couple minutes at a time and dry mouth.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia, Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Spasms in my deltoid lasting all night. Caused insomnia.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Joint pains
    Free text: Soreness in my armpit since about 24 hour after the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache
    Free text: Pain in my armpit.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-25
    Survey response — day 7, dose 2
    MedDRA: Axillary pain — Feeling: Good · Site: Pain · Joint pains
    Free text: Pain in the armpit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-19
    Survey response — 6 months, dose 2
    MedDRA: Asthma, Ear infection, General physical health deterioration, Hepatic steatosis, Insulin resistant diabetes, Pre-existing disease, Sinusitis, Type 2 diabetes mellitus — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit
    Free text: I was diagnosed about 1 month ago with diabetes type 2, insulin resistance, and a fatty liver. I have also had a really bad asthma exacerbation, sinus infection, and ear infection lasti g approximatly 2 weeks so far. My health has declined
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-07-19
    Report sent to call center — 6 months, 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)
  16. 2021-07-26
  17. 2022-01-18
    Survey response — 12 months, dose 2
    MedDRA: Insulin resistant diabetes, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: I was diagnosed with Diabetes and insulin resistance approximatly 1 to 2 months after my 2nd vaccine. · Healthcare visit (other): Specialist endocrinologist
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-18
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  19. 2022-01-19
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Pfizer-BioNTech
22021-01-18Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-18

Systemic reaction (other): Hot flashes lasting a couple minutes at a time and dry mouth.

Release 2 — days 1–6 daily, dose 2

2021-01-19

Systemic reaction (other): Spasms in my deltoid lasting all night. Caused insomnia.

2021-01-23

Systemic reaction (other): Soreness in my armpit since about 24 hour after the injection.

2021-01-24

Systemic reaction (other): Pain in my armpit.

Release 2 — day 7, dose 2

2021-01-25

Systemic reaction (other): Pain in the armpit

Release 9 — 6 months, dose 2

2021-07-19

Symptoms: I was diagnosed about 1 month ago with diabetes type 2, insulin resistance, and a fatty liver. I have also had a really bad asthma exacerbation, sinus infection, and ear infection lasti g approximatly 2 weeks so far. My health has declined

Release 10 — 12 months, dose 2

2022-01-18

Symptoms: I was diagnosed with Diabetes and insulin resistance approximatly 1 to 2 months after my 2nd vaccine.
Healthcare visit (other): Specialist endocrinologist

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
HCVOOffice visit · · ✓
SDAsthma · · ✓
SDEar infection · · ✓
SDGeneral physical health deterioration · · ✓
SDHepatic steatosis · · ✓
SDInsulin resistant diabetes · · ✓
SDPre-existing disease · · ✓
SDSinusitis · · ✓
SDType 2 diabetes mellitus · · ✓
SROAxillary pain ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓

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