4SX-32421-51102
4 vaccinations
2 coded responses
38 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 381 / TN
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Pfizer-BioNTech
-
2021-03-02
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Pfizer-BioNTech
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
-
2021-10-11
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-03-23
- 2022-04-11
-
2022-10-11
Survey response — 12 months, dose 3MedDRA: Adverse drug reaction — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: AGEP probably caused by Plaquenil. Unrelated to vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-10-12
-
2022-11-30
Dose 4 — Pfizer-BioNTech
-
2022-12-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-12-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-12-04
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-14
- 2022-12-21
-
2022-12-28
Survey response — day 28, dose 4MedDRA: Bronchitis, Nasopharyngitis, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Several colds back-to-back and a chronic cough with bronchitis, but I do have a child in daycare, so probably not abnormal.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-28
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-29
- 2022-12-29
- 2023-01-04
- 2023-01-11
- 2023-03-03
- 2023-05-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech | |
| 3 | 2021-10-11 | Pfizer-BioNTech | Flu |
| 4 | 2022-11-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-11 | Unsuccessful | |
| 2022-12-28 | Unsuccessful |
Free text
Release 12 — 12 months, dose 3
Symptoms: AGEP probably caused by Plaquenil. Unrelated to vaccine.
Release 12 — day 28, dose 4
Symptoms: Several colds back-to-back and a chronic cough with bronchitis, but I do have a child in daycare, so probably not abnormal.
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 |
|---|---|---|---|---|
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release