4UL-28091-77095
5 vaccinations
9 coded responses
36 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-19
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Site: PainFree text: Lower back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-25
Survey response — day 35, dose 2MedDRA: Hypotension, Malaise, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: For only one day had low blood pressure and body aches, didnt feel well. Fine nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
-
2021-06-18
Survey response — 3 months, dose 2MedDRA: Sinusitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with sinus infection. Feeling better after finishing antibioticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-18
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-24
-
2021-09-17
Survey response — 6 months, dose 2MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activitiesFree text: Felt like I had stomach flu for about 24 hours 2 days ago.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — day 7, dose 3MedDRA: Osteoarthritis, Rheumatoid arthritis — Feeling: Good · Joint painsFree text: Rheumatoid arthritis, oesteoarthritisMedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-12-24
- 2022-03-25
-
2022-04-25
Dose 4 — Moderna
-
2022-05-16
Survey response — day 21, dose 4MedDRA: Gastrointestinal disorder — Feeling: FairFree text: I have some stomach issues that are probably unrelated to boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-05-30
-
2022-06-06
Survey response — day 42, dose 4MedDRA: Gastrointestinal disorder — Feeling: FairFree text: Stomach issuesMedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
-
2022-10-17
Dose 5 — Pfizer-BioNTech
- 2022-10-26
- 2022-10-31
- 2022-11-07
-
2022-11-14
Survey response — day 28, dose 5MedDRA: Knee arthroplasty, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Had total knee replacement 11/9. Being treated for UTIMedDRA releases: 2024-11 · check-in free text available
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2022-11-14
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-15
- 2022-11-15
-
2022-11-23
Survey response — day 35, dose 5MedDRA: Hospitalisation, Knee arthroplasty, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Had knee replacement 11/9 and then got a UTI in hospital.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — day 35, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-25
- 2022-11-25
- 2022-11-25
-
2022-11-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-10-17 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lower back pain
Release 7 — day 35, dose 2
Symptoms: For only one day had low blood pressure and body aches, didnt feel well. Fine now
Release 9 — 3 months, dose 2
Symptoms: Diagnosed with sinus infection. Feeling better after finishing antibiotic
Release 9 — 6 months, dose 2
Symptoms: Felt like I had stomach flu for about 24 hours 2 days ago.
Release 9 — day 7, dose 3
Systemic reaction (other): Rheumatoid arthritis, oesteoarthritis
Release 11 — day 21, dose 4
Symptoms: I have some stomach issues that are probably unrelated to booster
Release 11 — day 42, dose 4
Symptoms: Stomach issues
Release 12 — day 28, dose 5
Symptoms: Had total knee replacement 11/9. Being treated for UTI
Release 12 — day 35, dose 5
Symptoms: Had knee replacement 11/9 and then got a UTI in hospital.
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Osteoarthritis | · | · | ✓ |
| SRO | Rheumatoid arthritis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release