3MX-19485-95784
6 vaccinations
11 coded responses
56 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Pfizer-BioNTech
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2021-03-11
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain, RednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Inflammation — Feeling: Good · Site: PainFree text: I have a disc problem in my lower back, the inflammation caused by the vaccine has impacted the disc causing my back to pain. It was pretty bad the 1st & 2nd day after the shot, but is beginning to ease up. I divided to not take anti inflammatory meds so as not to impede the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: GoodFree text: Still have pain in my lower backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Inflammation, Intervertebral disc disorder, Pre-existing disease — Feeling: Good · Muscle or body achesFree text: The ache is my lower back where I have a disc issue when inflammation is present. Lower back pain began a few hours after the vaccine and hasnt eased up yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Inflammation, Pain — Feeling: Good · Muscle or body achesFree text: Body ache - lower back pain due to the inflammation caused by the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Inflammation — Feeling: Good · Muscle or body achesFree text: Lower Back pain caused by inflammationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-01
Dose 2 — Pfizer-BioNTech
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Slight stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 7, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Little stuffinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2021-11-24
Dose 3 — Pfizer-BioNTech
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2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
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2022-04-01
Dose 4 — Pfizer-BioNTech
- 2022-04-19
- 2022-04-22
- 2022-04-29
- 2022-05-06
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2022-05-15
Survey response — day 42, dose 4MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: TGAMedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Report sent to call center — day 42, 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)
- 2022-05-16
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2022-05-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-01
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2022-09-10
Dose 5 — Pfizer-BioNTech
- 2022-09-30
- 2022-09-30
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
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2022-12-10
Survey response — 3 months, dose 5MedDRA: COVID-19 — Feeling: Fair · 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: I contracted COVID 19MedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Report sent to call center — 3 months, dose 5Be 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)
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2022-12-12
Call successfulCompleted over the phone
- 2023-03-11
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2023-05-03
Dose 6 — Pfizer-BioNTech
- 2023-05-08
- 2023-05-09
- 2023-05-10
- 2023-05-17
- 2023-05-24
- 2023-05-31
- 2023-06-07
- 2023-06-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
| 6 | 2023-05-03 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have a disc problem in my lower back, the inflammation caused by the vaccine has impacted the disc causing my back to pain. It was pretty bad the 1st & 2nd day after the shot, but is beginning to ease up. I divided to not take anti inflammatory meds so as not to impede the vaccine.
Systemic reaction (other): Still have pain in my lower back
Systemic reaction (other): The ache is my lower back where I have a disc issue when inflammation is present. Lower back pain began a few hours after the vaccine and hasnt eased up yet.
Systemic reaction (other): Body ache - lower back pain due to the inflammation caused by the vaccine
Systemic reaction (other): Lower Back pain caused by inflammation
Release 5 — day 7, dose 1
Systemic reaction (other): Lower back pain
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight stuffy nose
Release 7 — day 7, dose 2
Systemic reaction (other): Little stuffiness
Release 11 — day 42, dose 4
Symptoms: TGA
Release 12 — 3 months, dose 5
Symptoms: I contracted COVID 19
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 | COVID-19 | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Intervertebral disc disorder | ○ | ✓ | ○ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release