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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

  1. 2021-03-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-29
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-01
    Registered in v-safe
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastrooesophageal reflux disease, Impaired work ability, Pain, Pyrexia — Feeling: Good
    Free 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
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-12-20
    Dose 3 — Pfizer-BioNTech
  13. 2021-12-20
    Health check-in — day 0, dose 3
    Feeling: 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 activities
    Adult check-in
  14. 2021-12-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: 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 visit
    Free 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
  15. 2021-12-21
    Report sent to call center — days 1–6 daily, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  16. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain · Diarrhea
    Free text: My armpit hurts and seems swollen.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-12-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-12-23
  19. 2021-12-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-12-27
    Call successful
    Participant prefers to complete VAERS report online
  21. 2022-01-03
    Survey response — day 14, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: I have had a sore throat for a day and a half.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-01-17
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-01-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-06-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-12-15
    Dose 4 — Pfizer-BioNTech
  26. 2022-12-15
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-12-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  28. 2022-12-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2022-12-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2022-12-20
    Survey response — days 1–6 daily, dose 4
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-12-24
    Health check-in — day 7, dose 4
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  32. 2023-01-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  33. 2023-03-16
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-07Pfizer-BioNTech
22021-03-29Pfizer-BioNTech
32021-12-20Pfizer-BioNTech No
42022-12-15Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-02

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

2021-12-21

Systemic reaction (other): The abominable pain is acid reflux. I had after my second vaccine too. I also had a racing heart.

2021-12-22

Systemic reaction (other): My armpit hurts and seems swollen.

Release 10 — day 14, dose 3

2022-01-03

Symptoms: I have had a sore throat for a day and a half.

Release 12 — days 1–6 daily, dose 4

2022-12-20

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

FieldPreferred term2021-092023-042024-11
SDOropharyngeal pain · · ✓
SROAbdominal pain · · ✓
SROAxillary pain · · ✓
SROGastrooesophageal reflux disease ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SROOedema peripheral · · ✓
SROOropharyngeal pain · · ✓
SROPain ✓ ✓ ✓
SROPalpitations · · ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release