4V4-30211-77316
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 191 / PA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Dose 1 — Pfizer-BioNTech
-
2021-03-29
Dose 2 — Pfizer-BioNTech
-
2021-04-01
Registered in v-safe
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease, Impaired work ability, Pain, Pyrexia — Feeling: GoodFree text: Because I filled this out 3 days after my vaccine, Im not experiencing any symptoms now, but on Tuesday, I had a mild fever, my whole body hurt, and I had the worst case of acid reflux that I ever had. It lasted about 10 hours. I had to take that day off of work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-13
- 2021-04-19
- 2021-04-28
- 2021-09-29
-
2021-12-20
Dose 3 — Pfizer-BioNTech
-
2021-12-20
Health check-in — day 0, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain, Gastrooesophageal reflux disease, Palpitations — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: The abominable pain is acid reflux. I had after my second vaccine too. I also had a racing heart.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · DiarrheaFree text: My armpit hurts and seems swollen.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
- 2021-12-23
- 2021-12-24
-
2021-12-27
Call successfulParticipant prefers to complete VAERS report online
-
2022-01-03
Survey response — day 14, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: I have had a sore throat for a day and a half.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-17
- 2022-01-31
- 2022-06-22
-
2022-12-15
Dose 4 — Pfizer-BioNTech
- 2022-12-15
-
2022-12-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-12-18
- 2022-12-19
-
2022-12-20
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-12-24
Health check-in — day 7, dose 4Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2023-01-05
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Pfizer-BioNTech | No |
| 4 | 2022-12-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Because I filled this out 3 days after my vaccine, Im not experiencing any symptoms now, but on Tuesday, I had a mild fever, my whole body hurt, and I had the worst case of acid reflux that I ever had. It lasted about 10 hours. I had to take that day off of work.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The abominable pain is acid reflux. I had after my second vaccine too. I also had a racing heart.
Systemic reaction (other): My armpit hurts and seems swollen.
Release 10 — day 14, dose 3
Symptoms: I have had a sore throat for a day and a half.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sore throat
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 | Oropharyngeal pain | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release