5E4-14900-97984
5 vaccinations
3 coded responses
58 check-ins
3 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 288 / NC
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Pfizer-BioNTech
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Pfizer-BioNTech
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-27
-
2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
-
2022-09-08
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-26
- 2022-09-29
-
2022-10-06
Survey response — day 28, dose 5MedDRA: Alopecia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The COVID Vaccine and Boosters ( all Pfizer) is causing my scalp hair to shed in excess and it won't stop. I suppose it's making me bald. · Healthcare visit (other): Currently on a DR waitlist for end of Oct.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-06
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-07
-
2022-10-13
Survey response — day 35, dose 5MedDRA: Alopecia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Have Dr appointment 27 Oct 22 regarding the following hair issue. Appears COVID Vaccines and boosters inclusively are causing my hair to fall out excessively. · Healthcare visit (other): Pending Dr AppointmentMedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-14
-
2022-10-20
Survey response — day 42, dose 5MedDRA: Alopecia, Blood bilirubin increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 1. Scalp hair shedding from Vaccines. 2. Vaccines causes my elevated BILIRUBIN levels confirmed by blood work. I CANNOT have these levels elevated. Don't bother to call me with your "Boilerplate" questions. CDC interviewers don't see comments. · Healthcare visit (other): Dr Office in person and blood work upMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2022-10-21
Call successfulNot applicable - Accidental Reporting
-
2022-10-21
Call successfulNot applicable - Accidental Reporting
-
2022-10-21
Call successfulNot applicable - Accidental Reporting
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech | |
| 2 | 2021-03-03 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 12 — day 28, dose 5
Symptoms: The COVID Vaccine and Boosters ( all Pfizer) is causing my scalp hair to shed in excess and it won't stop. I suppose it's making me bald.
Healthcare visit (other): Currently on a DR waitlist for end of Oct.
Release 12 — day 35, dose 5
Symptoms: Have Dr appointment 27 Oct 22 regarding the following hair issue. Appears COVID Vaccines and boosters inclusively are causing my hair to fall out excessively.
Healthcare visit (other): Pending Dr Appointment
Release 12 — day 42, dose 5
Symptoms: 1. Scalp hair shedding from Vaccines. 2. Vaccines causes my elevated BILIRUBIN levels confirmed by blood work. I CANNOT have these levels elevated. Don't bother to call me with your "Boilerplate" questions. CDC interviewers don't see comments.
Healthcare visit (other): Dr Office in person and blood work up
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Blood bilirubin increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release