Y2V-20951-46606

1 vaccination 7 coded responses 13 check-ins 7 free-text entries 7 call cases

Sex: Male
Age at first dose: 21-25
ZIP prefix: 193 / PA
Registered: 2021-04-19

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

2021-04-19
Registered in v-safe
2021-04-19
Dose 1 — Pfizer-BioNTech
2021-04-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Contusion, Petechiae, Platelet count decreased, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have ITP. Before I received my vaccination my plate to count was 237,000. Yesterday, I began experiencing bruising and petechiae. Today my platelet count was 29,000.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Immune thrombocytopenia, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have ITP and my platelets crashed from 237k before the vaccine to 29k.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have ITP. My first dose dropped my platelets from 239k to 29k.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 21, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have ITP. Before taking the first dose of the vaccine, my platelet count was 237k. My current platelet count is 8k.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — day 28, dose 1
MedDRA: Platelet count decreased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I have ITP and the first dose of the vaccine causes my platelets to drop to 5k.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Survey response — day 42, dose 1
MedDRA: Condition aggravated, Immune thrombocytopenia, Platelet count decreased, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: The first dose of the vaccine triggered a relapse of my ITP. My platelets were 237 before the vaccine. Today they are 30.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Call 1 — Left Voicemail
2021-07-19
Survey response — 3 months, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Platelet level of 10k

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-26
Call 1 — Could Not Reach Participant
2021-07-29
Call 2 — Could Not Reach Participant
2021-10-20
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-24	Unsuccessful
2021-04-25	Unsuccessful
2021-04-26	Unsuccessful
2021-05-10	Unsuccessful
2021-05-17	Unsuccessful
2021-05-31	Unsuccessful
2021-07-19	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): I have ITP. Before I received my vaccination my plate to count was 237,000. Yesterday, I began experiencing bruising and petechiae. Today my platelet count was 29,000.

2021-04-25

Systemic reaction (other): I have ITP and my platelets crashed from 237k before the vaccine to 29k.

Release 8 — day 7, dose 1

2021-04-26

Systemic reaction (other): I have ITP. My first dose dropped my platelets from 239k to 29k.

Release 8 — day 21, dose 1

2021-05-10

Symptoms: I have ITP. Before taking the first dose of the vaccine, my platelet count was 237k. My current platelet count is 8k.

Release 8 — day 28, dose 1

2021-05-17

Symptoms: I have ITP and the first dose of the vaccine causes my platelets to drop to 5k.

Release 8 — day 42, dose 1

2021-05-31

Symptoms: The first dose of the vaccine triggered a relapse of my ITP. My platelets were 237 before the vaccine. Today they are 30.

Release 9 — 3 months, dose 1

2021-07-19

Symptoms: Platelet level of 10k

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	Condition aggravated	✓	✓	✓
SD	Immune thrombocytopenia	✓	✓	✓
SD	Platelet count decreased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Immune thrombocytopenia	✓	✓	✓
SRO	Petechiae	✓	✓	✓
SRO	Platelet count decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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