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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

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-13
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  4. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Severe low back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Headache, Muscle or body aches
    Adult check-in
  7. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing — Feeling: Good · Site: Pain, Redness · Joint pains
    Free text: My hands & feet are flushed (reddish)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-04-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-25
    Survey response — day 42, dose 1
    MedDRA: Back pain, Dyspnoea exertional, Office visit, Rash, Rash macular — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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
  13. 2021-05-25
    Report sent to call center — day 42, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-07-13
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-10-12
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-04-13
    Survey response — 12 months, dose 1
    MedDRA: 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 activities
    Free 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
  17. 2022-04-27

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Pfizer-BioNTech

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Severe low back pain

2021-04-17

Systemic reaction (other): My hands & feet are flushed (reddish)

Release 8 — day 42, dose 1

2021-05-25

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

2022-04-13

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBalance disorder · · ✓
SDBrain operation · · ✓
SDCentral nervous system lesion · · ✓
SDDizziness · · ✓
SDDyspnoea exertional ✓ ✓ ✓
SDHaemangioblastoma · · ✓
SDHeadache · · ✓
SDMagnetic resonance imaging head abnormal · · ✓
SDRash ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROFlushing ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release