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5PF-58742-03600

2 vaccinations 2 coded responses 4 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
800 / CO
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  3. 2021-01-15
    Registered in v-safe
  4. 2021-01-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Ear congestion, Hallucination, Headache, Heart rate increased, Insomnia, Medical counselling, Nervous system disorder, Restlessness, Tic, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): At the 24 hour mark my sympathetic nervous system became unregulated, my heart rate went up and I could not sit still, I also developed a tic of my left upper body. My arm and shoulder and neck were most affected. This lasted an hour and then I became nauseas. I have barely slept in 48 hours. Last night I experienced hallucinations and could hear the sound of an old tv in my left ear. I have had a headache since the injection and I feel increasing pressure in my ears. I cant calm down to sleep, very anxious and unregulated · Healthcare visit (other): Called my PCP to discuss my symptoms and occupational health at the hospital
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-15
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-01-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
  9. 2021-03-12
  10. 2022-01-12
    Survey response — 12 months, dose 2
    MedDRA: Cough, Headache, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school
    Free text: Cough, bodyaches, congestion, headache
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-19Pfizer-BioNTech
22021-01-12Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): At the 24 hour mark my sympathetic nervous system became unregulated, my heart rate went up and I could not sit still, I also developed a tic of my left upper body. My arm and shoulder and neck were most affected. This lasted an hour and then I became nauseas. I have barely slept in 48 hours. Last night I experienced hallucinations and could hear the sound of an old tv in my left ear. I have had a headache since the injection and I feel increasing pressure in my ears. I cant calm down to sleep, very anxious and unregulated
Healthcare visit (other): Called my PCP to discuss my symptoms and occupational health at the hospital

Release 10 — 12 months, dose 2

2022-01-12

Symptoms: Cough, bodyaches, congestion, headache

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
HCVOMedical counselling ✓ ✓ ✓
SDCough · · ✓
SDHeadache · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SROAnxiety ✓ ✓ ✓
SROEar congestion ✓ ✓ ✓
SROHallucination ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONervous system disorder ✓ ✓ ✓
SRORestlessness ✓ ✓ ✓
SROTic ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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