4RJ-31634-83801
4 vaccinations
5 coded responses
28 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 895 / NV
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-27
Dose 1 — Pfizer-BioNTech
-
2021-04-28
Registered in v-safe
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-03
- 2021-05-06
- 2021-05-11
- 2021-05-18
-
2021-05-20
Dose 2 — Pfizer-BioNTech
- 2021-06-08
- 2021-06-10
- 2021-06-19
- 2021-06-24
- 2021-07-01
-
2021-08-19
Survey response — 3 months, dose 2MedDRA: Body temperature increased, Chills, Fatigue, Productive cough, Sneezing, Throat irritation, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Scratchy throat, mild temp ejebation, chills, sneezing and post nasal drip coughing(wet) tiredMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-18
Survey response — 6 months, dose 2MedDRA: Ear infection, Lower respiratory tract infection, Malaise, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus disorder, Tympanic membrane perforation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sick twice sincefirst time chest could gesturing sore throatnegative for covid.this time sinus issue ear infection/rupturenegative for covid · Healthcare visit (other): A d dr is it todaygetting different antibiotics nowMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-22
Call successfulDoes not wish to fill out VAERS report
-
2021-11-24
Dose 3 — Pfizer-BioNTech
-
2022-05-20
Survey response — 12 months, dose 2MedDRA: Office visit, Thyroid disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Thyroid issues · Healthcare visit (other): Doctor viditMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-23
-
2022-08-15
Dose 4 — Pfizer-BioNTech
-
2022-08-15
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-08-17
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain upper, COVID-19, Diarrhoea, Gastrointestinal disorder, Headache, Pain, Pyrexia — Feeling: Fair · Abdominal painFree text: I had covid mid June..I had the gastrointestinal symptoms with fever extreme headache body aches...for 7 days...and now again with booster stomach pain and diarheaMedDRA releases: 2024-11 · check-in free text available
- 2022-08-20
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
-
2022-09-20
Survey response — day 35, dose 4MedDRA: Cough, Ear pain, Malaise, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sick again! Sore throat cough ear painMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-11-14
- 2023-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-27 | Pfizer-BioNTech | |
| 2 | 2021-05-20 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Pfizer-BioNTech | No |
| 4 | 2022-08-15 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — 3 months, dose 2
Symptoms: Scratchy throat, mild temp ejebation, chills, sneezing and post nasal drip coughing(wet) tired
Release 10 — 6 months, dose 2
Symptoms: Sick twice sincefirst time chest could gesturing sore throatnegative for covid.this time sinus issue ear infection/rupturenegative for covid
Healthcare visit (other): A d dr is it todaygetting different antibiotics now
Release 11 — 12 months, dose 2
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had covid mid June..I had the gastrointestinal symptoms with fever extreme headache body aches...for 7 days...and now again with booster stomach pain and diarhea
Release 12 — day 35, dose 4
Symptoms: Sick again! Sore throat cough ear pain
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 | Body temperature increased | ✓ | · | ✓ |
| SD | Chills | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SD | Tympanic membrane perforation | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release