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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

  1. 2021-07-30
    Registered in v-safe
  2. 2021-07-30
    Dose 1 — Pfizer-BioNTech
  3. 2021-07-30
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free 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
  4. 2021-07-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-08-08
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-08-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-08-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-08-25
    Dose 2 — Pfizer-BioNTech
  9. 2021-08-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  10. 2021-08-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Runny nose
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-08-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free 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
  12. 2021-08-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Back pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Pain more then usual in my back , hips, and left knee! All places I have arthritis
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-01
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  14. 2021-09-08
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-09-15
    Survey response — day 21, dose 2
    MedDRA: Abdominal pain upper, Back pain, Headache, Nasal congestion, Rhinorrhoea — Feeling: Fair
    Free 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 pains
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-09-23
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-10-02
    Survey response — day 35, dose 2
    MedDRA: Cough, Headache, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Runny nose, cough , congestion in chest, ache, tired? Headache · Healthcare visit (other): Got a COVID test
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-02
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-10-06
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-11-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-12-07
  22. 2022-08-27
    Survey response — 12 months, dose 2
    MedDRA: Condition aggravated, Gastrointestinal disorder, Pre-existing disease — Feeling: Fair
    Free 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

DoseDateManufacturerCo-administered
12021-07-30Pfizer-BioNTech No
22021-08-25Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-07-30

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

2021-08-28

Systemic reaction (other): Runny nose

2021-08-29

Systemic reaction (other): Lower back is very swore, legs ache and my knee in the joint aches.

2021-08-31

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

2021-09-15

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

2021-10-02

Symptoms: Runny nose, cough , congestion in chest, ache, tired? Headache
Healthcare visit (other): Got a COVID test

Release 12 — 12 months, dose 2

2022-08-27

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

FieldPreferred term2021-092023-042024-11
HCVOSARS-CoV-2 test · · ✓
SDAbdominal pain upper · · ✓
SDBack pain · · ✓
SDCondition aggravated · · ✓
SDCough · · ✓
SDGastrointestinal disorder · · ✓
SDHeadache · · ✓
SDNasal congestion · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SROArthralgia ✓ · ✓
SROBack pain ✓ · ✓
SRONo adverse event ✓ · ✓
SROPain in extremity ✓ · ✓
SROPre-existing disease ✓ · ✓
SRORhinorrhoea ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release