4NJ-14939-63151
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 640 / MO
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Pfizer-BioNTech
-
2021-03-26
Registered in v-safe
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The symptoms I am having are ongoing from a spinal injury and subsequent surgery, though it would be hard to distinguish how much could be attributed to the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: May or may not have anything to do with the vaccination, as these symptoms are normal for me on an every day basis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction, Pre-existing disease, Spinal cord injury — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: These are normal symptoms for me, relating to a spinal injury. It is hard to tell how much symptoms are related to the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-09
-
2021-04-15
Dose 2 — Pfizer-BioNTech
-
2021-04-22
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have these symptoms every day due to a spinal injury, so it is hard to tell if any of them are in part due to the Covid19 vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-07
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
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2021-11-18
Dose 3 — Pfizer-BioNTech
- 2022-04-15
-
2022-11-18
Survey response — 12 months, dose 3MedDRA: Abdominal pain, Cholecystectomy, Surgery — Feeling: Fair · 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: Symptoms: Extreme abdominal pain. Had to have gallbladder removed. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-11-18
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-21
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): The symptoms I am having are ongoing from a spinal injury and subsequent surgery, though it would be hard to distinguish how much could be attributed to the vaccination.
Systemic reaction (other): May or may not have anything to do with the vaccination, as these symptoms are normal for me on an every day basis.
Systemic reaction (other): These are normal symptoms for me, relating to a spinal injury. It is hard to tell how much symptoms are related to the vaccination.
Release 7 — day 7, dose 2
Systemic reaction (other): I have these symptoms every day due to a spinal injury, so it is hard to tell if any of them are in part due to the Covid19 vaccination.
Release 12 — 12 months, dose 3
Symptoms: Extreme abdominal pain. Had to have gallbladder removed.
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Spinal cord injury | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release