4TU-76715-29128
4 vaccinations
3 coded responses
5 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 331 / FL
- Registered
- 2022-10-01
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-02-03
Dose 2 — Pfizer-BioNTech
-
2022-05-04
Dose 3 — Pfizer-BioNTech
-
2022-09-16
Dose 4 — Pfizer-BioNTech
-
2022-10-01
Registered in v-safe
-
2022-10-01
Survey response — day 14, dose 4MedDRA: Injection site pain, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I took my last booster on 9/16/23. The area in which I received the shot has a pain level of 8.5-9. I'm calling my doctor Monday, October 3 for an appointment. It really hurts · Healthcare visit (other): Calling for appointment 10/3/22MedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-04
-
2022-10-04
Call successfulCompleted over the phone
- 2022-10-07
-
2022-10-15
Survey response — day 28, dose 4MedDRA: Injection site pain, Muscle spasms, Muscle tightness, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Where the shot was given, it still hurts. The pain feels like muscle spasm that stays. It a tightening feeling. The pain is a level 9 and 10 sometimes. Other than that it's a 5/6. I will make an appointment next week. · Healthcare visit (other): Primary doctor or shoulder doctor.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-17
- 2022-10-28
-
2022-12-23
Survey response — 3 months, dose 4MedDRA: Pain, Unevaluable event, Vaccination site pain, Vaccination site reaction — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: The vaccination location on my right arms still pulsates. Pain level 8-9 · Healthcare visit (other): Will make appointment with OrthopedicMedDRA releases: 2024-11 · check-in free text available
-
2022-12-23
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-27
- 2022-12-27
- 2022-12-28
-
2022-12-28
Callback requested for12:00PM ET
- 2022-12-28
-
2022-12-28
Callback requested for12:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | No |
| 2 | 2021-02-03 | Pfizer-BioNTech | No |
| 3 | 2022-05-04 | Pfizer-BioNTech | No |
| 4 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 12 — day 14, dose 4
Symptoms: I took my last booster on 9/16/23. The area in which I received the shot has a pain level of 8.5-9. I'm calling my doctor Monday, October 3 for an appointment. It really hurts
Healthcare visit (other): Calling for appointment 10/3/22
Release 12 — day 28, dose 4
Symptoms: Where the shot was given, it still hurts. The pain feels like muscle spasm that stays. It a tightening feeling. The pain is a level 9 and 10 sometimes. Other than that it's a 5/6. I will make an appointment next week.
Healthcare visit (other): Primary doctor or shoulder doctor.
Release 12 — 3 months, dose 4
Symptoms: The vaccination location on my right arms still pulsates. Pain level 8-9
Healthcare visit (other): Will make appointment with Orthopedic
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SD | Vaccination site reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release