4CN-20837-37955
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
- 172 / PA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Dose 1 — Pfizer-BioNTech
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2021-03-17
Registered in v-safe
- 2021-03-17
- 2021-03-18
- 2021-03-19
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2021-03-26
Survey response — day 14, dose 1MedDRA: Fatigue, Feeling abnormal, Headache — Feeling: FairFree text: Probably just my seasonal allergies, but for the last two days I have been having low grade headache and fever (no higher than 99.3, mostly at end of day) and feel foggy headed and tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Dose 2 — Pfizer-BioNTech
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Muscle tightness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My upper arms and face are warm and tight, like after a mild sunburn. No rash or discoloration.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-08
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2021-04-09
Survey response — day 7, dose 2MedDRA: Gastrointestinal sounds abnormal — Feeling: Fair · Headache, Fatigue or tirednessFree text: Intestines grumbly, no bowel movementsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Survey response — day 21, dose 2MedDRA: Abdominal pain, Diarrhoea, Faeces soft, Infrequent bowel movements, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Since my second dose I have had intermittent intestinal issues - abdominal cramping, infrequent bowel movements, frequent soft and loose stools, and one instance of moderate abdominal pain with nausea that lasted about an hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Office visit, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Upper respiratory infection. Dr did a rapid test for COVID which came up negative. · Healthcare visit (other): Regular Dr appointmentMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-12-07
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2021-12-07
Call successfulCompleted over the phone
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — day 14, dose 1
Symptoms: Probably just my seasonal allergies, but for the last two days I have been having low grade headache and fever (no higher than 99.3, mostly at end of day) and feel foggy headed and tired.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My upper arms and face are warm and tight, like after a mild sunburn. No rash or discoloration.
Release 7 — day 7, dose 2
Systemic reaction (other): Intestines grumbly, no bowel movements
Release 7 — day 21, dose 2
Symptoms: Since my second dose I have had intermittent intestinal issues - abdominal cramping, infrequent bowel movements, frequent soft and loose stools, and one instance of moderate abdominal pain with nausea that lasted about an hour.
Release 9 — 6 months, dose 2
Symptoms: Upper respiratory infection. Dr did a rapid test for COVID which came up negative.
Healthcare visit (other): Regular Dr appointment
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 pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Faeces soft | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Infrequent bowel movements | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal sounds abnormal | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release