4HX-33196-87048
4 vaccinations
12 coded responses
48 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-22
Registered in v-safe
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2021-02-22
Dose 1 — Pfizer-BioNTech
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2021-02-22
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · HeadacheFree text: slightly dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Dizziness — Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaFree text: a little dizzy, had chills last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Irritability — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: irritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Good · Fatigue or tirednessFree text: slightly tight chest, intermittentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: headache is intermittent, less severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
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2021-03-15
Dose 2 — Pfizer-BioNTech
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2021-03-15
Health check-in — day 0, dose 2Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain — Feeling: Good · Headache, Muscle or body achesFree text: neck ache at base of head causing headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: muscle ache R trapezoid fir past 3 dsysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 7, dose 2MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: still achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-06
- 2021-04-12
- 2021-04-20
- 2021-04-26
- 2021-06-14
- 2021-09-13
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2021-09-24
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-02
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-12-26
- 2022-03-27
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2022-04-14
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — day 0, dose 4MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches, NauseaFree text: weird headache around and back of ears,neckMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-04-16
Survey response — days 1–6 daily, dose 4MedDRA: Neck pain — Feeling: Good · Muscle or body achesFree text: neck acheMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches, NauseaAdult check-in
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-21
Survey response — day 7, dose 4MedDRA: Injury, Pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness, NauseaFree text: injury from February 2022 recurred painMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-07-14
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2022-10-13
Survey response — 6 months, dose 4MedDRA: Cystitis, Influenza like illness, Sinus disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: i developed a sinus and flu like illness the day after my last covid booster, now 3 weeks later a bladder infectionMedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-14
- 2022-10-14
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2022-10-14
Call successfulDoes not wish to fill out VAERS report
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): slightly dizzy
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): a little dizzy, had chills last night
Systemic reaction (other): irritability
Systemic reaction (other): slightly tight chest, intermittent
Systemic reaction (other): headache is intermittent, less severe
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): neck ache at base of head causing headache
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): muscle ache R trapezoid fir past 3 dsys
Release 6 — day 7, dose 2
Systemic reaction (other): still achy
Release 11 — day 0, dose 4
Systemic reaction (other): weird headache around and back of ears,neck
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): neck ache
Release 11 — day 7, dose 4
Systemic reaction (other): injury from February 2022 recurred pain
Release 12 — 6 months, dose 4
Symptoms: i developed a sinus and flu like illness the day after my last covid booster, now 3 weeks later a bladder infection
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 |
|---|---|---|---|---|
| SD | Cystitis | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injury | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release