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6TW-26935-10073

2 vaccinations 5 coded responses 10 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
934 / CA
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-14
    Registered in v-safe
  2. 2021-03-14
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-14
    Survey response — day 0, dose 1
    MedDRA: Hyporeflexia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Delayed reflexes in hand grip
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hyporeflexia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Delayed reflexes (grabbing objects) on the same side which the shot was administrated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscular weakness — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: Left arm/hand still a little weak. Better than previous days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-21
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains
    Free text: Left shoulder joint - same side got shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  11. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-04-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-05
    Survey response — day 35, dose 2
    MedDRA: Constipation, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: (b)(6), 16 years old, my son got the vaccine.He had Aganglionic Megacolon & an allergy to Sulfa (childhood allergies to egg, wheat, soy, dairy too). Experiencing severe constipation even though he had not used a laxative up to the week before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-14Pfizer-BioNTech
22021-03-31Pfizer-BioNTech

Free text

Release 5 — day 0, dose 1

2021-03-14

Systemic reaction (other): Delayed reflexes in hand grip

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Delayed reflexes (grabbing objects) on the same side which the shot was administrated

2021-03-17

Systemic reaction (other): Left arm/hand still a little weak. Better than previous days.

Release 6 — day 7, dose 1

2021-03-21

Systemic reaction (other): Left shoulder joint - same side got shot.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: (b)(6), 16 years old, my son got the vaccine.He had Aganglionic Megacolon & an allergy to Sulfa (childhood allergies to egg, wheat, soy, dairy too). Experiencing severe constipation even though he had not used a laxative up to the week before.
redacted (b)(6)

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
SDConstipation ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROHyporeflexia ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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