657-33401-17938
3 vaccinations
9 coded responses
28 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 190 / PA
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-29
Dose 1 — Pfizer-BioNTech
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2021-05-21
Registered in v-safe
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2021-05-21
Dose 2 — Pfizer-BioNTech
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2021-05-21
Survey response — day 0, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · ChillsFree text: Tingling and done numbness in handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: GoodFree text: Underarm soreness in side where shot was given - lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: SwellingFree text: Pins and needles sensation on face and armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
- 2021-06-25
- 2021-07-02
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2021-08-21
Survey response — 3 months, dose 2MedDRA: Breast mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast lumpsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-19
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Office visit, Pain in jaw, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Occasional trigeminal nerve flare up. Unsure if an unfilled cavity is causing jaw pain. I will get it filled and then reassess. · Healthcare visit (other): MRI of brain and neck and nasal cavity check from ENTMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-21
Dose 3 — Pfizer-BioNTech
- 2021-11-21
- 2021-11-23
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
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2021-11-28
Survey response — day 7, dose 3MedDRA: Paraesthesia — Feeling: GoodFree text: Trigeminal nerve tingling on left side of face.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
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2021-12-12
Survey response — day 21, dose 3MedDRA: Supraventricular tachycardia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Supraventricular tachycardia (SVT)MedDRA releases: 2024-11 · check-in free text available
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2021-12-12
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-13
- 2021-12-19
- 2021-12-26
- 2022-01-02
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2022-02-20
Survey response — 3 months, dose 3MedDRA: Tachycardia, Tinnitus — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Tinnitus and tachycardiaMedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Pfizer-BioNTech | |
| 2 | 2021-05-21 | Pfizer-BioNTech | |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 unsuccessful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Tingling and done numbness in hands
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Underarm soreness in side where shot was given - lymph node
Systemic reaction (other): Swollen lymph node
Systemic reaction (other): Pins and needles sensation on face and arms
Release 9 — 3 months, dose 2
Symptoms: Breast lumps
Release 10 — 6 months, dose 2
Symptoms: Occasional trigeminal nerve flare up. Unsure if an unfilled cavity is causing jaw pain. I will get it filled and then reassess.
Healthcare visit (other): MRI of brain and neck and nasal cavity check from ENT
Release 10 — day 7, dose 3
Systemic reaction (other): Trigeminal nerve tingling on left side of face.
Release 10 — day 21, dose 3
Symptoms: Supraventricular tachycardia (SVT)
Release 11 — 3 months, dose 3
Symptoms: Tinnitus and tachycardia
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 | · | · | ✓ |
| SD | Breast mass | ✓ | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Supraventricular tachycardia | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release