Z3B-31781-05768
2 vaccinations
9 coded responses
25 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 542 / WI
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Feeling of body temperature change — Feeling: Good · DiarrheaFree text: I have felt warm and cold kind of back and forth day and night. Not chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
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2021-02-14
Dose 2 — Pfizer-BioNTech
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling abnormal, Memory impairment — Feeling: Fair · HeadacheFree text: I'm doing stupid things. Going the wrong way on roads I know, forgetting where I am, didn't hear a timer and then hurried, missed a strainer and poured boiling water on my hand. Just tired and out of it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Syncope — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fainting twice in the night after going to the bathroom. Once I came to in the bathroom, once halfway back to my bed. The distance between is less than 50 feet. I've never fainted before and I have no recollection of feeling dizzy or anything.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Bradyphrenia, Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: Spacey, out of sorts like my brain isn't thinking straight or in slow motion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: White blood cell count decreased — Feeling: Fair · Chills, Fatigue or tirednessFree text: Low white blood cell countMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Bradyphrenia, Feeling abnormal — Feeling: Fair · Chills, Joint pains, Fatigue or tirednessFree text: Slow thinking, brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Good · Fatigue or tirednessFree text: Rumbling bowels but not anything worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — day 7, dose 2MedDRA: Agitation, Heart rate increased — Feeling: Fair · Headache, Fatigue or tirednessFree text: Faster heart rate and agitation. Can the vaccine itself cause changes in the heart ?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — day 14, dose 2MedDRA: Confusional state, Dizziness, Dyspnoea, Feeling abnormal, Syncope — Feeling: GoodFree text: Since fainting I've gotten tests. I'm going to see a cardiologist. I get dizzy, lightheaded, feel some confusion, and am cold at times. I need to take deep breaths to catch up. I cannot say if this was pre-existing but it seems worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-14
- 2021-03-22
- 2021-03-28
- 2021-05-16
- 2021-08-15
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-14 | Pfizer-BioNTech |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have felt warm and cold kind of back and forth day and night. Not chills
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I'm doing stupid things. Going the wrong way on roads I know, forgetting where I am, didn't hear a timer and then hurried, missed a strainer and poured boiling water on my hand. Just tired and out of it.
Systemic reaction (other): Fainting twice in the night after going to the bathroom. Once I came to in the bathroom, once halfway back to my bed. The distance between is less than 50 feet. I've never fainted before and I have no recollection of feeling dizzy or anything.
Systemic reaction (other): Spacey, out of sorts like my brain isn't thinking straight or in slow motion.
Systemic reaction (other): Low white blood cell count
Systemic reaction (other): Slow thinking, brain fog
Systemic reaction (other): Rumbling bowels but not anything worse
Release 4 — day 7, dose 2
Systemic reaction (other): Faster heart rate and agitation. Can the vaccine itself cause changes in the heart ?
Release 4 — day 14, dose 2
Symptoms: Since fainting I've gotten tests. I'm going to see a cardiologist. I get dizzy, lightheaded, feel some confusion, and am cold at times. I need to take deep breaths to catch up. I cannot say if this was pre-existing but it seems worse.
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 | Confusional state | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Agitation | ✓ | ✓ | ✓ |
| SRO | Bradyphrenia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling of body temperature change | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | White blood cell count decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release