5TH-24313-63366
1 vaccination
7 coded responses
10 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 606 / IL
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-16
Dose 1 — Pfizer-BioNTech
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2021-02-19
Registered in v-safe
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Chills, Pain, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to workFree text: 12 to 15 hours following vaccine odd neurological semi dream issues, chills, body aches, leg aches, fever, etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Alopecia — Feeling: Good · HeadacheFree text: Greater hair loss yesterday and today. Which happened also with Covid-19.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Good · Fatigue or tirednessFree text: I still have a very vague lingering of night sweats today but the worst of them were days three and four following the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
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2021-04-02
Survey response — day 42, dose 1MedDRA: Alopecia, Aphasia, Disturbance in attention, Dyspnoea, Gait inability, Limb discomfort, Vision blurred — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I continue to have difficulty with word memory and focus and concentration. I also have continued difficulty walking up stairs with shortness of breath and heaviness in my legs. I have increased loss of hair to approximately now 60 to 70% hair loss.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — 3 months, dose 1MedDRA: Arthralgia, Inflammation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ankle joint inflammationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-17
Survey response — 6 months, dose 1MedDRA: Nervous system disorder, Sleep disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Ive had some odd neurological issues a couple of times the last few weeks and sleep is interrupted after 4 or 5 hours. When trying to regain sleep is when the odd neuro issues would occur.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-16
Survey response — 12 months, dose 1MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased fatigue and joint painMedDRA releases: 2024-11 · check-in free text available
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2022-02-16
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-02-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): 12 to 15 hours following vaccine odd neurological semi dream issues, chills, body aches, leg aches, fever, etc.
Systemic reaction (other): Greater hair loss yesterday and today. Which happened also with Covid-19.
Systemic reaction (other): I still have a very vague lingering of night sweats today but the worst of them were days three and four following the vaccine.
Release 6 — day 42, dose 1
Symptoms: I continue to have difficulty with word memory and focus and concentration. I also have continued difficulty walking up stairs with shortness of breath and heaviness in my legs. I have increased loss of hair to approximately now 60 to 70% hair loss. cut off by CDC
Release 8 — 3 months, dose 1
Symptoms: Ankle joint inflammation
Release 9 — 6 months, dose 1
Symptoms: Ive had some odd neurological issues a couple of times the last few weeks and sleep is interrupted after 4 or 5 hours. When trying to regain sleep is when the odd neuro issues would occur.
Release 11 — 12 months, dose 1
Symptoms: Increased fatigue and joint pain
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | Aphasia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait inability | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Nervous system disorder | ✓ | · | ✓ |
| SD | Sleep disorder | ✓ | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Alopecia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release