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22Q-18413-84544

4 vaccinations 3 coded responses 14 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
960 / CA
Registered
2022-11-14
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-18
    Dose 2 — Pfizer-BioNTech
  3. 2021-11-22
    Dose 3 — Pfizer-BioNTech
  4. 2022-11-13
    Dose 4 — Moderna
  5. 2022-11-14
    Registered in v-safe
  6. 2022-11-14
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest pain — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Chest pain starting about 22 hours after initial shot. Also had chest pain about 24 hours after first booster.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-11-15
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chest pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Light chest pain returned briefly around 9p last night but only lasted an hour
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-11-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2022-11-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  10. 2022-11-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  11. 2022-11-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2022-11-20
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  13. 2022-11-27
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  14. 2022-12-04
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  15. 2022-12-12
    Survey response — day 28, dose 4
    MedDRA: Abdominal pain, Abdominal pain upper, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Starting on 12/4 I've had abdominal pain (sharp) off and on (mainly focused on the right stomach but wasn't isolated). It eased up about 3-4 days later but still happening occasionally but weaker. Scheduled for CT on 12/16. · Healthcare visit (other): Primary doctor visit
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-12-12
    Report sent to call center — day 28, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2022-12-14
    Call successful
    Does not wish to fill out VAERS report
  18. 2022-12-18
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-12-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  20. 2023-02-12
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  21. 2023-05-16
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Pfizer-BioNTech No
22021-03-18Pfizer-BioNTech No
32021-11-22Pfizer-BioNTech No
42022-11-13Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 4

2022-11-14

Systemic reaction (other): Chest pain starting about 22 hours after initial shot. Also had chest pain about 24 hours after first booster.

2022-11-15

Systemic reaction (other): Light chest pain returned briefly around 9p last night but only lasted an hour

Release 12 — day 28, dose 4

2022-12-12

Symptoms: Starting on 12/4 I've had abdominal pain (sharp) off and on (mainly focused on the right stomach but wasn't isolated). It eased up about 3-4 days later but still happening occasionally but weaker. Scheduled for CT on 12/16.
Healthcare visit (other): Primary doctor visit

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
HCVOOffice visit · · ✓
SDAbdominal pain · · ✓
SDAbdominal pain upper · · ✓
SROChest pain · · ✓

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