4KL-14097-85711
2 vaccinations
7 coded responses
17 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 050 / VT
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-30
Registered in v-safe
-
2021-07-30
Dose 1 — Pfizer-BioNTech
-
2021-07-30
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: At this time no I just received first of two only 10 minutes ago!MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-08
- 2021-08-13
- 2021-08-22
-
2021-08-25
Dose 2 — Pfizer-BioNTech
-
2021-08-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-08-28
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Runny noseMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-29
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Lower back is very swore, legs ache and my knee in the joint aches.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pain more then usual in my back , hips, and left knee! All places I have arthritisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-01
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-09-08
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2021-09-15
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Back pain, Headache, Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Had a lot of pain on my lower back on right side an around to front. Also Runny nose , or stuffy, weird headache and stomach cramps and painsMedDRA releases: 2024-11 · check-in free text available
- 2021-09-23
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2021-10-02
Survey response — day 35, dose 2MedDRA: Cough, Headache, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Runny nose, cough , congestion in chest, ache, tired? Headache · Healthcare visit (other): Got a COVID testMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-06
- 2021-11-26
- 2021-12-07
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2022-08-27
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Gastrointestinal disorder, Pre-existing disease — Feeling: FairFree text: Some of my own disability's became worse ! My stomach problem s have increased!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Pfizer-BioNTech | No |
| 2 | 2021-08-25 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — day 0, dose 1
Systemic reaction (other): At this time no I just received first of two only 10 minutes ago!
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose
Systemic reaction (other): Lower back is very swore, legs ache and my knee in the joint aches.
Systemic reaction (other): Pain more then usual in my back , hips, and left knee! All places I have arthritis
Release 9 — day 21, dose 2
Symptoms: Had a lot of pain on my lower back on right side an around to front. Also Runny nose , or stuffy, weird headache and stomach cramps and pains
Release 9 — day 35, dose 2
Symptoms: Runny nose, cough , congestion in chest, ache, tired? Headache
Healthcare visit (other): Got a COVID test
Release 12 — 12 months, dose 2
Symptoms: Some of my own disability's became worse ! My stomach problem s have increased!
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | No adverse event | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Rhinorrhoea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release