4G5-57378-26899
2 vaccinations
11 coded responses
25 check-ins
11 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 708 / LA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 1 — Pfizer-BioNTech
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2021-02-25
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: PainFree text: Felt in nervesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Dyschezia, Unevaluable event — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain in stomach when go number 2 · Healthcare visit (other): Sent email to PCP doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Chills, Abdominal pain · Get care from a doctor or other healthcare professional · HospitalizationFree text: Waiting to hear backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · HeadacheFree text: Stomach unwell but no painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
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2021-03-18
Dose 2 — Pfizer-BioNTech
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2021-03-18
Survey response — day 0, dose 2MedDRA: Back pain — Feeling: Good · Muscle or body achesFree text: Back acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
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2021-04-15
Survey response — day 28, dose 2MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Hypertension, Medical counselling, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Been having problems with stomach still and high blood pressure even though on medicine. Today I am very sore all over because yesterday I got my shingles 2nd shot · Healthcare visit (other): Home health care nurse is running tests for Pcp doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — day 42, dose 2MedDRA: Haematochezia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Problems with blood and stool not sure about urine waiting to hear back from doctors officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-17
Survey response — 3 months, dose 2MedDRA: Clostridium difficile colitis, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I dont remember last time you contacted me but I had C diff · Healthcare visit (other): Home health care nurse tooMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-17
Call successfulDoes not wish to fill out VAERS report
- 2021-06-24
- 2021-06-28
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2021-06-30
Call successfulDoes not wish to fill out VAERS report
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2021-09-16
Survey response — 6 months, dose 2MedDRA: Pneumonia, SARS-CoV-2 test negative, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Lung infection and sinus infection but I was tested for Covid and it was negativeMedDRA releases: 2024-11 · check-in free text available
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2021-09-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-03-18
Survey response — 12 months, dose 2MedDRA: Infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Several infectionsMedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech |
Call center
7 call center cases
7 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Felt in nerves
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in stomach when go number 2
Healthcare visit (other): Sent email to PCP doctor
Healthcare visit (other): Waiting to hear back
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Stomach unwell but no pain
Release 5 — day 0, dose 2
Systemic reaction (other): Back ache
Release 7 — day 28, dose 2
Symptoms: Pain in stomach
Release 7 — day 35, dose 2
Symptoms: Been having problems with stomach still and high blood pressure even though on medicine. Today I am very sore all over because yesterday I got my shingles 2nd shot
Healthcare visit (other): Home health care nurse is running tests for Pcp doctor
Release 8 — day 42, dose 2
Symptoms: Problems with blood and stool not sure about urine waiting to hear back from doctors office
Release 9 — 3 months, dose 2
Symptoms: I dont remember last time you contacted me but I had C diff
Healthcare visit (other): Home health care nurse too
Release 9 — 6 months, dose 2
Symptoms: Lung infection and sinus infection but I was tested for Covid and it was negative
Release 11 — 12 months, dose 2
Symptoms: Several infections
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Clostridium difficile colitis | ✓ | ✓ | ✓ |
| SD | Haematochezia | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dyschezia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release