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
-
2020-12-19
Dose 1 — Pfizer-BioNTech
-
2021-01-12
Dose 2 — Pfizer-BioNTech
-
2021-01-15
Registered in v-safe
-
2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: 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 professionalFree 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 hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-17
- 2021-01-19
- 2021-03-09
- 2021-03-12
-
2022-01-12
Survey response — 12 months, dose 2MedDRA: Cough, Headache, Pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend schoolFree text: Cough, bodyaches, congestion, headacheMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Ear congestion | ✓ | ✓ | ✓ |
| SRO | Hallucination | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nervous system disorder | ✓ | ✓ | ✓ |
| SRO | Restlessness | ✓ | ✓ | ✓ |
| SRO | Tic | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release