4UJ-62904-70460
3 vaccinations
7 coded responses
35 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 750 / TX
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-17
Registered in v-safe
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2020-12-17
Dose 1 — Pfizer-BioNTech
- 2020-12-17
- 2020-12-18
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity — Feeling: Fair · Headache, Fatigue or tirednessFree text: AllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-20
- 2020-12-21
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
- 2020-12-23
- 2020-12-24
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2020-12-31
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Feeling Itchy all over more frequently, but could be Texas weather and regular allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Dose 2 — Pfizer-BioNTech
- 2021-01-07
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2021-01-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain — Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body achesFree text: Back and shoulder pain not normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body achesFree text: Back and shoulder never had beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-04-08
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2021-07-08
Survey response — 6 months, dose 2MedDRA: Cough, Dyspnoea, Illness, Respiratory tract congestion, Viral infection — 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 · Telehealth, virtual health, or email health consultationFree text: Was sick with virus but not COVID. Coughing for a week and a half Trouble breathing first night because of so much congestion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
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 pr1 call case(s)
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2021-07-13
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-09-27
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-09-30
- 2021-10-02
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · HeadacheFree text: Allergies sinus likelyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
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2021-11-01
Survey response — day 35, dose 3MedDRA: Gastrointestinal disorder, Irritable bowel syndrome, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Digestive problems went to doc and they think it's IBS not sure if related to vaccine but have had this for a few months nowMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-03
Call successfulDoes not wish to fill out VAERS report
- 2021-11-10
- 2021-12-27
- 2022-03-28
- 2022-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Allergies
Release 1 — day 14, dose 1
Symptoms: Feeling Itchy all over more frequently, but could be Texas weather and regular allergies.
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Back and shoulder pain not normal
Systemic reaction (other): Back and shoulder never had before
Release 9 — 6 months, dose 2
Symptoms: Was sick with virus but not COVID. Coughing for a week and a half Trouble breathing first night because of so much congestion.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Allergies sinus likely
Release 10 — day 35, dose 3
Symptoms: Digestive problems went to doc and they think it's IBS not sure if related to vaccine but have had this for a few months now
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 | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Illness | ✓ | ✓ | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Viral infection | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release