4PX-76503-51677
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 489 / MI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-04-09
- 2021-04-10
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Pfizer-BioNTech
- 2021-04-28
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · Site: Pain · ChillsFree text: I think Ive been having chills since I got the shot . I have been ignoring it, today is been bothersomeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-05
- 2021-05-12
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2021-05-19
Survey response — day 21, dose 2MedDRA: Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Im having pain just below my ribs right side , not sure if vaccine is the cause.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
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2021-07-29
Survey response — 3 months, dose 2MedDRA: Cough, Throat tightness — Feeling: GoodFree text: Im having some kind of cough and weird symptoms on my throat, kinda of the feeling after you just had chocked with water, thats the best I can describe it.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-27
Survey response — 6 months, dose 2MedDRA: Abdominal pain upper, Axillary pain, Musculoskeletal chest pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in between my ribs and stomach RT side towards the back has increased. Been referred to Nephrology. · Healthcare visit (other): Doctors office visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-29
- 2021-11-03
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | |
| 2 | 2021-04-28 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): None
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I think Ive been having chills since I got the shot . I have been ignoring it, today is been bothersome
Release 8 — day 21, dose 2
Symptoms: Im having pain just below my ribs right side , not sure if vaccine is the cause.
Release 9 — 3 months, dose 2
Symptoms: Im having some kind of cough and weird symptoms on my throat, kinda of the feeling after you just had chocked with water, thats the best I can describe it.
Release 10 — 6 months, dose 2
Symptoms: Pain in between my ribs and stomach RT side towards the back has increased. Been referred to Nephrology.
Healthcare visit (other): Doctors office visit
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 | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Throat tightness | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release