3E4-49524-57710
3 vaccinations
6 coded responses
28 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 928 / CA
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-18
Registered in v-safe
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2020-12-18
Dose 1 — Pfizer-BioNTech
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2020-12-18
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Left arm soarnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Chest X-ray abnormal, Emergency care, Pneumonia — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): PNA found on CXR today in ER · Healthcare visit (other): Called nurse advise line then to ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Pneumonia — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Being treated for pnaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-20
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-21
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2020-12-21
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2020-12-24
Call successfulCompleted over the phone
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2020-12-24
Call successfulCompleted over the phone
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2020-12-24
Call successfulCompleted over the phone
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2021-01-01
Survey response — day 14, dose 1MedDRA: Pneumonia, SARS-CoV-2 test negative, Suspected COVID-19 — Feeling: Fair · Be unable to workFree text: Pneumonia on CXR, suspected covid 19....Negative on swabMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-10
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2021-01-12
Dose 2 — Pfizer-BioNTech
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2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Medical counselling, Pyrexia, Self-medication, Tachycardia — Feeling: Fair · Site: Pain · FeverFree text: On the 13th I had fever up to 101.0, chills, tachycardia hr 105 at rest, minor headache. Next day on 14th minor fever 99.8, hr 80s improved, today on 15th normal temp and heart rate feel like minor chills now and then. I took Benadryl and Tylenol with this 2nd dose per my md due to illness with the first dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-28
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-25
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2021-04-14
Survey response — 3 months, dose 2MedDRA: Pain, Pain in extremity — Feeling: FairFree text: Deep left arm pain in my lower bicep area. Cant seem to massage it and sometimes it throbsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
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2022-01-06
Dose 3 — Pfizer-BioNTech
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2022-01-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2022-01-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-15
- 2022-01-20
- 2022-01-27
- 2022-02-03
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2022-01-06 | Pfizer-BioNTech | No |
Call center
4 call center cases
3 successful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 3
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Left arm soarness
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): PNA found on CXR today in ER
Healthcare visit (other): Called nurse advise line then to ER
Systemic reaction (other): Being treated for pna
Release 1 — day 14, dose 1
Symptoms: Pneumonia on CXR, suspected covid 19....Negative on swab
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): On the 13th I had fever up to 101.0, chills, tachycardia hr 105 at rest, minor headache. Next day on 14th minor fever 99.8, hr 80s improved, today on 15th normal temp and heart rate feel like minor chills now and then. I took Benadryl and Tylenol with this 2nd dose per my md due to illness with the first dose.
Release 7 — 3 months, dose 2
Symptoms: Deep left arm pain in my lower bicep area. Cant seem to massage it and sometimes it throbs
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 | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Suspected COVID-19 | ✓ | ✓ | ✓ |
| SRO | Chest X-ray abnormal | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pneumonia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release