4DN-28621-18132
1 vaccination
4 coded responses
5 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 104 / NY
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-02-08
Registered in v-safe
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2021-02-08
Survey response — day 7, dose 1MedDRA: Chest pain, Painful respiration — Feeling: Fair · HeadacheFree text: Chest soreness left to right then now center soreness when deep breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 14, dose 1MedDRA: Chest discomfort, Dyspnoea, Medical counselling, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Continuing chest pressure, moved from one area to another of my chest. Pain making it difficult to take deep breaths. · Healthcare visit (other): I contacted my doctor and v-safe. V-safe did not get back to me until now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-20
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2021-02-27
Survey response — day 28, dose 1MedDRA: Breast pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I went to see about getting second shot, after discussing with dr. then decided not to take it. Something is going on in my breast that wasnt prior to the first shot, some soreness and intermittent pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 35, dose 1MedDRA: Dyspnoea, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lingering not able to take deep breaths without feeling uncomfortable. am afraid to take 2nd shot due to side effects. Dont want worse symptoms. People who know about this vaccine intimately, direct me to hands who are not well versed in it. · Healthcare visit (other): At vaccination site and by phone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Chest soreness left to right then now center soreness when deep breathing
Release 4 — day 14, dose 1
Symptoms: Continuing chest pressure, moved from one area to another of my chest. Pain making it difficult to take deep breaths.
Healthcare visit (other): I contacted my doctor and v-safe. V-safe did not get back to me until now.
Release 4 — day 28, dose 1
Symptoms: I went to see about getting second shot, after discussing with dr. then decided not to take it. Something is going on in my breast that wasnt prior to the first shot, some soreness and intermittent pains.
Release 5 — day 35, dose 1
Symptoms: Lingering not able to take deep breaths without feeling uncomfortable. am afraid to take 2nd shot due to side effects. Dont want worse symptoms. People who know about this vaccine intimately, direct me to hands who are not well versed in it.
Healthcare visit (other): At vaccination site and by phone.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release