3KE-27202-40381
4 vaccinations
5 coded responses
6 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 328 / FL
- Registered
- 2022-11-08
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-03-17
Dose 1 — Pfizer-BioNTech
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2021-04-07
Dose 2 — Pfizer-BioNTech
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2021-10-08
Dose 3 — Pfizer-BioNTech
-
2022-10-17
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-08
Registered in v-safe
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2022-11-08
Survey response — day 21, dose 4MedDRA: Abdominal discomfort, Abdominal pain upper, Back pain, Decreased appetite, Fatigue, Nausea, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very tired achy nauseous upset stomach no appetite pain in my stomach and my lower right side backMedDRA releases: 2024-11 · check-in free text available
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2022-11-15
Survey response — day 28, dose 4MedDRA: Decreased appetite, Fatigue, Needle issue, Vaccination site haemorrhage — Feeling: Fair · Be unable to do your normal daily activitiesFree text: No appetite tired. The needle broke in my arm when she administered it and there was some bleeding but she quickly gave me a new vaccine so I guess I had a little from the first injection and all in the second injection. Do I have be worried? Long tmMedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Survey response — day 35, dose 4MedDRA: Arthralgia, Brain fog, Fatigue, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Brain fog Tired joint pain · Healthcare visit (other): Pain management DrMedDRA releases: 2024-11 · check-in free text available
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2022-11-21
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-11-22
Call successfulCompleted over the phone
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2022-11-28
Survey response — day 42, dose 4MedDRA: Arthralgia, Depressed mood, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Both knees pain standing walking Tired DepressedMedDRA releases: 2024-11 · check-in free text available
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2023-01-16
Survey response — 3 months, dose 4MedDRA: Contusion, Fall, Headache, Neck pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-16
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2023-01-17
Call successfulNot applicable - Accidental Reporting
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | No |
| 2 | 2021-04-07 | Pfizer-BioNTech | No |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-10-17 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 12 — day 21, dose 4
Symptoms: Very tired achy nauseous upset stomach no appetite pain in my stomach and my lower right side back
Release 12 — day 28, dose 4
Symptoms: No appetite tired. The needle broke in my arm when she administered it and there was some bleeding but she quickly gave me a new vaccine so I guess I had a little from the first injection and all in the second injection. Do I have be worried? Long tm cut off by CDC
Release 12 — day 35, dose 4
Release 12 — day 42, dose 4
Symptoms: Both knees pain standing walking Tired Depressed
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 | Office visit | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Needle issue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vaccination site haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release