4RT-55861-28019
1 vaccination
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 141 / NY
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Back pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Severe low back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Muscle or body achesAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Flushing — Feeling: Good · Site: Pain, Redness · Joint painsFree text: My hands & feet are flushed (reddish)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-27
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2021-05-25
Survey response — day 42, dose 1MedDRA: Back pain, Dyspnoea exertional, Office visit, Rash, Rash macular — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had Covid in January of 2021. After my 1st shot in April I had severe low back pain & red/purple blotches on my arms & legs. Also had some shortness of breath when exercising or taking stairs. After bloodwork I was told not to get 2nd shot. · Healthcare visit (other): Went to see infectious disease specialist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-13
- 2021-10-12
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2022-04-13
Survey response — 12 months, dose 1MedDRA: Balance disorder, Brain operation, Central nervous system lesion, Dizziness, Haemangioblastoma, Headache, Magnetic resonance imaging head abnormal — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Was experiencing headaches, dizzy & off balance. MRI showed a lesion in my brain. Had a hemangio blastoma removed from my brain .MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Severe low back pain
Systemic reaction (other): My hands & feet are flushed (reddish)
Release 8 — day 42, dose 1
Symptoms: I had Covid in January of 2021. After my 1st shot in April I had severe low back pain & red/purple blotches on my arms & legs. Also had some shortness of breath when exercising or taking stairs. After bloodwork I was told not to get 2nd shot.
Healthcare visit (other): Went to see infectious disease specialist.
Release 11 — 12 months, dose 1
Symptoms: Was experiencing headaches, dizzy & off balance. MRI showed a lesion in my brain. Had a hemangio blastoma removed from my brain .
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Brain operation | · | · | ✓ |
| SD | Central nervous system lesion | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SD | Haemangioblastoma | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Magnetic resonance imaging head abnormal | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release