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4FB-20941-22410

4 vaccinations 13 coded responses 41 check-ins 13 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
981 / WA
Registered
2021-04-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Registered in v-safe
  2. 2021-04-21
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-21
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Shoulder hurts a bit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck pain — Feeling: Good · Site: Pain, Itching · Muscle or body aches
    Free text: Pain on side of neck where shot was
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Neck pain, Pain in jaw — Feeling: Good · Muscle or body aches
    Free text: Pain in neck/jaw on side where shot was
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Muscle or body aches
    Free text: Neck stiffness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-05
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Injection site pain, Neck pain, Paraesthesia — Feeling: Good
    Free text: Muscle pain in shoulder/ neck returned, flashes of pain around site of shot, occasional tingle in arm/ fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-12
    Dose 2 — Pfizer-BioNTech
  13. 2021-05-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sore throat/ ear pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-14
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Muscle or body aches
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Good · Muscle or body aches
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  21. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  22. 2021-05-26
    Survey response — day 14, dose 2
    MedDRA: Ear pain, Myalgia, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sore throat/ear pain comes & goes, persistent muscle pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-26
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-06-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-12-03
    Dose 3 — Moderna
  30. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  31. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-12-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-04-07
    Call successful
    Does not wish to fill out VAERS report
  39. 2022-09-08
    Dose 4 — Moderna
    Co-administered: Flu
  40. 2022-09-09
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Free text: Redness & swelling just below injection site
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-09-10
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Red swollen spot just below injection site
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-09-11
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site
    Free text: Red spot below injection site, seems to be fading?
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-09-12
    Survey response — days 1–6 daily, dose 4
    MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Free text: Mild rash under injection site, slowly fading
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-09-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-09-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-09-17
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-09-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-09-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Pfizer-BioNTech
22021-05-12Pfizer-BioNTech
32021-12-03Moderna No
42022-09-08Moderna Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Shoulder hurts a bit

2021-04-24

Systemic reaction (other): Pain on side of neck where shot was

2021-04-25

Systemic reaction (other): Pain in neck/jaw on side where shot was

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Neck stiffness

Release 8 — day 14, dose 1

2021-05-05

Symptoms: Muscle pain in shoulder/ neck returned, flashes of pain around site of shot, occasional tingle in arm/ fingers

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Sore throat/ ear pain

2021-05-15

Systemic reaction (other): Sore throat

2021-05-16

Systemic reaction (other): Sore throat

Release 8 — day 14, dose 2

2021-05-26

Symptoms: Sore throat/ear pain comes & goes, persistent muscle pain

Release 12 — days 1–6 daily, dose 4

2022-09-09

Systemic reaction (other): Redness & swelling just below injection site

2022-09-10

Systemic reaction (other): Red swollen spot just below injection site

2022-09-11

Systemic reaction (other): Red spot below injection site, seems to be fading?

2022-09-12

Systemic reaction (other): Mild rash under injection site, slowly fading

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROInjection site erythema · · ✓
SROInjection site swelling · · ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain in jaw ✓ ✓ ✓
SRORash · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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