2Y4-16809-15212
4 vaccinations
4 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 961 / CA
- Registered
- 2022-06-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Pfizer-BioNTech
-
2021-03-10
Dose 2 — Pfizer-BioNTech
-
2021-10-13
Dose 3 — Pfizer-BioNTech
-
2022-06-25
Dose 4 — Pfizer-BioNTech
-
2022-06-26
Registered in v-safe
-
2022-06-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-06-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-06-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2022-06-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
-
2022-06-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Chills, Headache, Joint painsAdult check-in
-
2022-07-01
Survey response — days 1–6 daily, dose 4MedDRA: Confusional state, Disturbance in attention — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: Confusion, inattentiveness. POS antigen test at homeMedDRA releases: 2024-11 · check-in free text available
-
2022-07-01
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-02
Survey response — day 7, dose 4MedDRA: Back pain, Muscle spasms — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Backache and spasms wavesMedDRA releases: 2024-11 · check-in free text available
-
2022-07-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-09
-
2022-07-17
Survey response — day 21, dose 4MedDRA: Arthralgia, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Body aches &s every joint painMedDRA releases: 2024-11 · check-in free text available
- 2022-07-23
-
2022-07-30
Survey response — day 35, dose 4MedDRA: Arthralgia, Insomnia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Upper body Joint pain that keeps me up at night!!!!! Shoulders, elbows, wrists, hands, fingers. This stinks!!!!!MedDRA releases: 2024-11 · check-in free text available
- 2022-08-06
- 2022-09-24
-
2022-12-24
Health check-in — 6 months, dose 4Feeling: Good · 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 visitFree text: Horrible hard to breath cough. Needed inhaler to breathe. Tested for Covid, flu, X-ray for pneumonia - all negative. Did not get tested for RSV. 5 weeks later still have cough but much better.Adult check-in · check-in free text available
-
2022-12-24
Call case (no matching report) — SuccessfulDoes not wish to fill out VAERS report
- 2022-12-27
-
2023-01-04
Call successfulDoes not wish to fill out VAERS report
- 2023-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | No |
| 2 | 2021-03-10 | Pfizer-BioNTech | No |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-06-25 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Confusion, inattentiveness. POS antigen test at home
Release 12 — day 7, dose 4
Systemic reaction (other): Backache and spasms waves
Release 12 — day 21, dose 4
Symptoms: Body aches &s every joint pain
Release 12 — day 35, dose 4
Symptoms: Upper body Joint pain that keeps me up at night!!!!! Shoulders, elbows, wrists, hands, fingers. This stinks!!!!!
Release 12 — 6 months, dose 4
Symptoms: Horrible hard to breath cough. Needed inhaler to breathe. Tested for Covid, flu, X-ray for pneumonia - all negative. Did not get tested for RSV. 5 weeks later still have cough but much better.
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 | Arthralgia | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Disturbance in attention | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release