4VN-23661-28475
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
3 call cases
- Sex
- —
- Age at first dose
- 46-50
- ZIP prefix
- 910 / CA
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-19
Registered in v-safe
-
2020-12-19
Dose 1 — Pfizer-BioNTech
- 2020-12-19
-
2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2020-12-20
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-21
- 2020-12-22
- 2020-12-28
- 2021-01-02
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-01-12
- 2021-01-15
- 2021-01-24
- 2021-01-31
- 2021-02-05
- 2021-02-14
- 2021-02-19
-
2021-04-11
Survey response — 3 months, dose 2MedDRA: Intervertebral disc protrusion — Feeling: Good · Be unable to do your normal daily activitiesFree text: herniated L4-L5 discMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-11
Survey response — 6 months, dose 2MedDRA: Intervertebral disc protrusion — 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: herniated lumbar discMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-15
-
2022-01-09
Survey response — 12 months, dose 2MedDRA: Intervertebral disc protrusion, Lumbar radiculopathy — Feeling: Fair · Be unable to work or attend school, 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: herniated L4-5 disk with radiculapathyMedDRA releases: 2024-11 · check-in free text available
-
2022-01-09
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-20 | priority 2/3 | |
| 2021-07-11 | Unsuccessful | |
| 2022-01-09 | Unsuccessful |
Free text
Release 7 — 3 months, dose 2
Symptoms: herniated L4-L5 disc
Release 9 — 6 months, dose 2
Symptoms: herniated lumbar disc
Release 10 — 12 months, dose 2
Symptoms: herniated L4-5 disk with radiculapathy
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 | Intervertebral disc protrusion | ✓ | ✓ | ✓ |
| SD | Lumbar radiculopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release