2H4-25602-18791
1 vaccination
6 coded responses
7 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 983 / WA
- Registered
- 2021-07-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-01
Dose 1 — Pfizer-BioNTech
-
2021-07-02
Registered in v-safe
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2021-07-02
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dyspnoea, Emergency care, Erythema, Feeling hot, Pain in jaw — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Systemic reaction (other): I ended up in ER right after I got the shot with jaw pain, chest pain, difficulty breathing, oxygen went from 98 to 93 on oxygen, my face is hot and red today · Healthcare visit (other): Went by ambulance from the clinic to the ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — days 1–6 daily, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-03
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Headache, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Trouble breathing,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-04
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Hypertension — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Trouble breathing, high blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Renal pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Kidney area pain, breathing troubleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-07-07
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2021-07-15
Survey response — day 14, dose 1MedDRA: Arthralgia, Chest pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Chest pain, shoulder and arm pain on left sideMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-22
Survey response — day 21, dose 1MedDRA: Arthralgia, Back pain, Flank pain, Joint swelling, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left side pain under ribs and extending to the back. feeling of swelling and pain in shoulder and armMedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-01 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I ended up in ER right after I got the shot with jaw pain, chest pain, difficulty breathing, oxygen went from 98 to 93 on oxygen, my face is hot and red today
Healthcare visit (other): Went by ambulance from the clinic to the ER
Systemic reaction (other): Trouble breathing,
Systemic reaction (other): Trouble breathing, high blood pressure
Systemic reaction (other): Kidney area pain, breathing trouble
Release 9 — day 14, dose 1
Symptoms: Chest pain, shoulder and arm pain on left side
Release 9 — day 21, dose 1
Symptoms: Left side pain under ribs and extending to the back. feeling of swelling and pain in shoulder and arm
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 |
|---|---|---|---|---|
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release