4EY-48036-78190
4 vaccinations
12 coded responses
26 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 483 / MI
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-28
Registered in v-safe
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2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Self-medication — Feeling: Good · Joint painsFree text: I took hydroxyzine & Tylenol later the same day I got vaccine in morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Condition aggravated, Pre-existing disease — Feeling: Good · Joint painsFree text: My normal lever of joint pain was significantly increased from my shot thru yesterday, but is now back to normal level.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Unevaluable event — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Dont recall if I reported the fatigue last weekend, Saturday especially · Healthcare visit (other): Steroid shots in both thumb joints at wristMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 1MedDRA: Erythema, Pyrexia — Feeling: FairFree text: 1 week after vaccine 1st dose, hours after a high dose vitamin IV in preparation for routine procedure, had 101 fever on beet red cheeks with 98.5 temp on other body parts. Normal temp is 97.3-.6. Lasted 21 hours. Never had that happen before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Dose 2 — Pfizer-BioNTech
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2021-02-27
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: Good · Headache, Joint painsFree text: Symptoms are normal for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 14, dose 2MedDRA: Nausea, Sinus headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Severe Sinus Headache with nausea 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 42, dose 2MedDRA: Injection site pain — Feeling: FairFree text: After some activity, my arm muscle was sore at injection site ... no where elseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-06-24
- 2021-08-19
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2021-12-05
Dose 3 — Pfizer-BioNTech
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2022-02-20
Survey response — 12 months, dose 2MedDRA: Dyspnoea, Fatigue, Headache, Medical counselling, Oropharyngeal pain, Respiratory disorder, SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, 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: Confirmed Covid w/ bad headache, sore throat, fatigue, upper respitory issues, and 2 episodes of difficulty breathing. · Healthcare visit (other): Covid tester came to houseMedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-21
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2022-09-15
Dose 4 — Pfizer-BioNTech
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2022-09-24
Survey response — day 7, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Symptoms for day after 9/16/22MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
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2022-10-29
Survey response — day 42, dose 4MedDRA: Eye contusion, Fall, Headache, Suture insertion, Tooth fracture — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Due to fall in locker room, 1 black eye, 1 stitch in upper lip, 1 front tooth sheared at gum line, on going moderate headache. Seems unrelated to Covid vacinneMedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-31
- 2022-10-31
- 2022-10-31
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2022-12-17
Survey response — 3 months, dose 4MedDRA: Nasal congestion, Nasopharyngitis, Rhinorrhoea, Sinus headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I believe what I have is a very bad cold. No fever. Nasal congestion and runny nose beyond belief. Headache is like a sinus headache. Very little to no chest congestion. No difficulty breathing.MedDRA releases: 2024-11 · check-in free text available
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2023-03-16
Survey response — 6 months, dose 4MedDRA: Connective tissue disorder, Office visit, Surgery, Tendonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-03-16
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2023-03-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-03-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-03-17
Call successfulCompleted over the phone
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2023-03-17
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-18 | Pfizer-BioNTech | |
| 3 | 2021-12-05 | Pfizer-BioNTech | No |
| 4 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I took hydroxyzine & Tylenol later the same day I got vaccine in morning.
Systemic reaction (other): My normal lever of joint pain was significantly increased from my shot thru yesterday, but is now back to normal level.
Systemic reaction (other): Dont recall if I reported the fatigue last weekend, Saturday especially
Healthcare visit (other): Steroid shots in both thumb joints at wrist
Release 4 — day 14, dose 1
Symptoms: 1 week after vaccine 1st dose, hours after a high dose vitamin IV in preparation for routine procedure, had 101 fever on beet red cheeks with 98.5 temp on other body parts. Normal temp is 97.3-.6. Lasted 21 hours. Never had that happen before. cut off by CDC
Release 4 — day 7, dose 2
Systemic reaction (other): Symptoms are normal for me
Release 5 — day 14, dose 2
Symptoms: Severe Sinus Headache with nausea 2 days
Release 6 — day 42, dose 2
Symptoms: After some activity, my arm muscle was sore at injection site ... no where else
Release 11 — 12 months, dose 2
Symptoms: Confirmed Covid w/ bad headache, sore throat, fatigue, upper respitory issues, and 2 episodes of difficulty breathing.
Healthcare visit (other): Covid tester came to house
Release 12 — day 7, dose 4
Systemic reaction (other): Symptoms for day after 9/16/22
Release 12 — day 42, dose 4
Symptoms: Due to fall in locker room, 1 black eye, 1 stitch in upper lip, 1 front tooth sheared at gum line, on going moderate headache. Seems unrelated to Covid vacinne
Release 12 — 3 months, dose 4
Symptoms: I believe what I have is a very bad cold. No fever. Nasal congestion and runny nose beyond belief. Headache is like a sinus headache. Very little to no chest congestion. No difficulty breathing.
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 | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Connective tissue disorder | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Eye contusion | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Suture insertion | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SD | Tooth fracture | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | ○ | ○ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release