4FV-51036-60608
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 337 / FL
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
-
2021-03-23
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Slight, mild sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
-
2021-04-07
Dose 2 — Pfizer-BioNTech
- 2021-04-20
- 2021-04-21
- 2021-04-30
-
2021-05-05
Survey response — day 28, dose 2MedDRA: Diarrhoea, Faeces discoloured, Mucous stools, Nausea, Steatorrhoea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Yellow, greasy, mucusy, floating poop and bad nausea, diahiaria, vomiting for 24 hours on 4.4.2021. Couldn't leave the house. No other symptoms. All better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
-
2021-05-19
Survey response — day 42, dose 2MedDRA: Oropharyngeal pain, Pre-existing disease, Self-medication — Feeling: FairFree text: Very slight sore throat for almost a week now. Probably related to seasonal allergies although I take antihistamines daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain, Pre-existing disease, Tremor, Unevaluable event — 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 professionalFree text: Symptoms: Consistently mild sore throat.Early-onset Parkinson's Disease tremors are worse, meds not as effective at controlling them. · Healthcare visit (other): None. Not yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Report sent to call center — 3 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)
-
2021-07-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Slight, mild sore throat.
Release 8 — day 28, dose 2
Symptoms: Yellow, greasy, mucusy, floating poop and bad nausea, diahiaria, vomiting for 24 hours on 4.4.2021. Couldn't leave the house. No other symptoms. All better today.
Release 8 — day 42, dose 2
Symptoms: Very slight sore throat for almost a week now. Probably related to seasonal allergies although I take antihistamines daily.
Release 9 — 3 months, dose 2
Symptoms: Consistently mild sore throat.Early-onset Parkinson's Disease tremors are worse, meds not as effective at controlling them.
Healthcare visit (other): None. Not yet.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Faeces discoloured | ✓ | ✓ | ✓ |
| SD | Mucous stools | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Steatorrhoea | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release