5V4-33706-57563

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 553 / MN
Registered: 2021-05-04

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-30
Dose 1 — Pfizer-BioNTech
2021-05-04
Registered in v-safe
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Drug resistance, Nasopharyngitis, Self-medication — Feeling: Poor · Site: Itching · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe Hay-Fever-like symptoms that are unrelieved with antihistamines or decongestant

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Nasal congestion — Feeling: Fair

Free text: Moderate nasal congestion and plugged ears. Better than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-21
Dose 2 — Pfizer-BioNTech
2021-05-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Iritis, Uveitis — Feeling: Good

Free text: Mild uveitis probably iritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eye inflammation, Pre-existing disease — Feeling: Good

Free text: Slight inflammation in my right eye where I occasionally get a flare up of Iritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Iritis — Feeling: Good

Free text: Iritis confirmed at ophthalmology appointment today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 7, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Diagnosed ititis responding well to prednisone eye drops.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-13
Dose 3 — Pfizer-BioNTech
2022-01-10
Survey response — day 28, dose 3
MedDRA: Hospitalisation, Immune thrombocytopenia, Platelet count decreased, Platelet transfusion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: My blood platelets dropped to 4,000 within 3 weeks following my 12/13/2021 Pfizer Booster. I hospitalized and receiving cortico-steroid therapy and have received IVIG and platelet transfusion to treat Immune-Related Thrombocytopenia due to Vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-01-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Call 1 — Could Not Reach Participant
2022-01-21
Call 2 — Could Not Reach Participant
2022-01-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Pfizer-BioNTech
2	2021-05-21	Pfizer-BioNTech
3	2021-12-13	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Severe Hay-Fever-like symptoms that are unrelieved with antihistamines or decongestant

2021-05-05

Systemic reaction (other): Moderate nasal congestion and plugged ears. Better than yesterday.

Release 8 — days 1–6 daily, dose 2

2021-05-25

Systemic reaction (other): Mild uveitis probably iritis

2021-05-26

Systemic reaction (other): Slight inflammation in my right eye where I occasionally get a flare up of Iritis.

2021-05-27

Systemic reaction (other): Iritis confirmed at ophthalmology appointment today

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Diagnosed ititis responding well to prednisone eye drops.

Release 10 — day 28, dose 3

2022-01-10

Symptoms: My blood platelets dropped to 4,000 within 3 weeks following my 12/13/2021 Pfizer Booster. I hospitalized and receiving cortico-steroid therapy and have received IVIG and platelet transfusion to treat Immune-Related Thrombocytopenia due to Vaccine. cut off by CDC

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	Hospitalisation	·	·	✓
SD	Immune thrombocytopenia	·	·	✓
SD	Platelet count decreased	·	·	✓
SD	Platelet transfusion	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Drug resistance	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Eye inflammation	✓	✓	✓
SRO	Iritis	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Uveitis	✓	✓	✓

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