34A-98735-00753
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 468 / IN
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Just a slight tenderness at the sight of the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Pfizer-BioNTech
-
2021-04-14
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm is sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesFree text: Headache is mild. Chills off and on with the fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pyrexia — Feeling: GoodFree text: Have recovered from the fever and at times feel a bitoff but not bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Have a slight fever that I think may be related to something else. · Healthcare visit (other): Redimed. I dont believe this is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
-
2021-04-21
Survey response — day 7, dose 2MedDRA: Pain of skin — Feeling: GoodFree text: Several days ago, I had pain from a very sensitive area on my stomach - not sure it was related to the vaccine or not. It lasted a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-14
-
2022-03-01
Call successfulDoes not wish to fill out VAERS report
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-14 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Just a slight tenderness at the sight of the injection.
Release 7 — day 0, dose 2
Systemic reaction (other): Arm is sore.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Headache is mild. Chills off and on with the fever.
Systemic reaction (other): Have recovered from the fever and at times feel a bitoff but not bad.
Systemic reaction (other): Have a slight fever that I think may be related to something else.
Healthcare visit (other): Redimed. I dont believe this is related to the vaccine.
Release 7 — day 7, dose 2
Systemic reaction (other): Several days ago, I had pain from a very sensitive area on my stomach - not sure it was related to the vaccine or not. It lasted a few days.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release