3L9-27733-15801
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 544 / WI
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Pfizer-BioNTech
- 2021-03-18
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-04-08
Dose 2 — Pfizer-BioNTech
-
2021-04-08
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Just had shot 1:15 minutes agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-13
-
2021-04-15
Survey response — day 7, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 14, dose 2MedDRA: Arthritis, Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Ukwn if related but had right knee surgeries in pst and after shot this knee and back where I have arthritis got worse and past 2 days right knee is very painful and swollen. Cant think of anything I did to aggravate itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-06
- 2021-05-13
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2021-05-22
Survey response — day 42, dose 2MedDRA: Sciatica — Feeling: Good · Be unable to do your normal daily activitiesFree text: Just major Sciatic pain that shoots all the way down my leg. But I had that in the past years ago but it came back now shortly after this shot not sure if its the causeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Survey response — 3 months, dose 2MedDRA: Influenza like illness, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Went to doctor after husband and I were with flu like symptoms 2 weeks ago he lost taste and smell but very congested. No tests done other than strep culture which was negative. Treated us for sinus infectionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-24
Call successfulDoes not wish to fill out VAERS report
- 2021-10-07
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Just had shot 1:15 minutes ago
Release 7 — day 7, dose 2
Systemic reaction (other): Headache
Release 7 — day 14, dose 2
Symptoms: Ukwn if related but had right knee surgeries in pst and after shot this knee and back where I have arthritis got worse and past 2 days right knee is very painful and swollen. Cant think of anything I did to aggravate it
Release 8 — day 42, dose 2
Symptoms: Just major Sciatic pain that shoots all the way down my leg. But I had that in the past years ago but it came back now shortly after this shot not sure if its the cause
Release 9 — 3 months, dose 2
Symptoms: Went to doctor after husband and I were with flu like symptoms 2 weeks ago he lost taste and smell but very congested. No tests done other than strep culture which was negative. Treated us for sinus infections
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 | Arthritis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ○ | ○ | ○ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release