4L3-33930-20499
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 550 / MN
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — day 14, dose 1MedDRA: Arthralgia, Chills, Fatigue, Headache, Neck pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Significant Joint pain, headache, chills, very tired. Began day 13 post first vaccine with arm and neck pain only on injection side, spreading to all joints day 14, pain dissipated today and feeling tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Dose 2 — Pfizer-BioNTech
-
2021-03-12
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-18
- 2021-03-19
-
2021-03-26
Survey response — day 14, dose 2MedDRA: Arthralgia, Chest pain, Fatigue, Feeling abnormal, Headache, Medical counselling, Myalgia, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Adverse effects began 10 days after shot. Muscle/joint pain, headache, Nausea, vomiting, extreme fatigue, pain in chest. Have never felt so awful · Healthcare visit (other): Paramedics-thought I was having a heart attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-02
Survey response — day 21, dose 2MedDRA: Echocardiogram abnormal, Hospitalisation, Pulmonary oedema — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: In hospital with fluid in lungs and around heart. Do of Chronic Heart Failure based on Echo cardio gram. Still getting informationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-14
-
2021-10-15
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 5 — day 14, dose 1
Symptoms: Significant Joint pain, headache, chills, very tired. Began day 13 post first vaccine with arm and neck pain only on injection side, spreading to all joints day 14, pain dissipated today and feeling tired.
Release 6 — day 14, dose 2
Symptoms: Adverse effects began 10 days after shot. Muscle/joint pain, headache, Nausea, vomiting, extreme fatigue, pain in chest. Have never felt so awful
Healthcare visit (other): Paramedics-thought I was having a heart attack
Release 6 — day 21, dose 2
Symptoms: In hospital with fluid in lungs and around heart. Do of Chronic Heart Failure based on Echo cardio gram. Still getting information
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 | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Echocardiogram abnormal | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pulmonary oedema | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release