4GU-45260-16509
5 vaccinations
7 coded responses
34 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 272 / NC
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Pfizer-BioNTech
-
2021-01-20
Registered in v-safe
- 2021-01-22
- 2021-01-23
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Pfizer-BioNTech
-
2021-02-08
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: Got vaccine just 20 minutes ago!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-11
- 2021-02-12
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-17
- 2021-02-22
-
2021-03-15
Survey response — day 35, dose 2MedDRA: Arthritis, Pre-existing disease — Feeling: FairFree text: Flare-up of arthritis psin6MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-05-10
Survey response — 3 months, dose 2MedDRA: Pain, Physiotherapy, Pre-existing disease — 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: Severe bilateral pain similar to sciatica starting two weeks ago while under PT care for osteoarthritis of one knee. · Healthcare visit (other): Ongoing PT modifiedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-09
Survey response — 6 months, dose 2MedDRA: Physiotherapy, Pre-existing disease, Sciatica, Spinal stenosis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: sciatica leading to diagnosis of age- and osteoarthritis-related spinal stenosis · Healthcare visit (other): Physical therapyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-09
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-13
Dose 3 — Pfizer-BioNTech
- 2022-02-08
-
2022-05-10
Dose 4 — Pfizer-BioNTech
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2022-11-04
Dose 5 — Moderna
- 2022-11-04
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2022-11-05
Survey response — days 1–6 daily, dose 5MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Body aches became severe yesterday 2 hours after I reported feeling good. It felt as if the booster had fired up sensitive nerve pathway from spine to knee that I usually have under control with PT, acupunture treatment, Tylenol. OK since morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
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2022-12-18
Survey response — day 42, dose 5MedDRA: Arthralgia, Back pain, Influenza like illness, Pain, Pain in jaw, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: A roughly 24-hour period of severe flu-like pain in joints and lower back, mainly in left side, from jaw down into ankle. The pain vanished as mysteriously as it appeared, after I slept for 11 hours straight (no use of sleep aids). Feeling fine now.MedDRA releases: 2024-11 · check-in free text available
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2023-02-03
Survey response — 3 months, dose 5MedDRA: Acupuncture, Back pain, COVID-19, Condition aggravated, Pre-existing disease, Respiratory symptom, Sensitive skin — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-02-03
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-02-06
Call successfulParticipant prefers to complete VAERS report online
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-05-10 | Pfizer-BioNTech | No |
| 5 | 2022-11-04 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Got vaccine just 20 minutes ago!
Release 5 — day 35, dose 2
Symptoms: Flare-up of arthritis psin6
Release 8 — 3 months, dose 2
Symptoms: Severe bilateral pain similar to sciatica starting two weeks ago while under PT care for osteoarthritis of one knee.
Healthcare visit (other): Ongoing PT modified
Release 9 — 6 months, dose 2
Symptoms: sciatica leading to diagnosis of age- and osteoarthritis-related spinal stenosis
Healthcare visit (other): Physical therapy
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Body aches became severe yesterday 2 hours after I reported feeling good. It felt as if the booster had fired up sensitive nerve pathway from spine to knee that I usually have under control with PT, acupunture treatment, Tylenol. OK since morning.
Release 12 — day 42, dose 5
Symptoms: A roughly 24-hour period of severe flu-like pain in joints and lower back, mainly in left side, from jaw down into ankle. The pain vanished as mysteriously as it appeared, after I slept for 11 hours straight (no use of sleep aids). Feeling fine now. cut off by CDC
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 | Acupuncture | · | · | ✓ |
| HCVO | Back pain | · | · | ✓ |
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Sciatica | ✓ | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Spinal stenosis | ✓ | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release