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
-
2021-03-14
Registered in v-safe
-
2021-03-14
Dose 1 — Pfizer-BioNTech
-
2021-03-14
Survey response — day 0, dose 1MedDRA: Hyporeflexia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Delayed reflexes in hand gripMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Hyporeflexia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: Delayed reflexes (grabbing objects) on the same side which the shot was administratedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Muscular weakness — Feeling: Good · Site: Pain, Swelling, ItchingFree 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
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint painsFree text: Left shoulder joint - same side got shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
-
2021-03-31
Dose 2 — Pfizer-BioNTech
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-12
-
2021-05-05
Survey response — day 35, dose 2MedDRA: Constipation, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Delayed reflexes in hand grip
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Delayed reflexes (grabbing objects) on the same side which the shot was administrated
Systemic reaction (other): Left arm/hand still a little weak. Better than previous days.
Release 6 — day 7, dose 1
Systemic reaction (other): Left shoulder joint - same side got shot.
Release 8 — day 35, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Hyporeflexia | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release