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4XD-11344-73039

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
524 / IA
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-07
    Registered in v-safe
  3. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-05-22
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain upper, Chills, Dyspnoea, Fatigue, Fluid retention, Hospitalisation, Lung disorder — Feeling: Fair
    Free text: Breathing Issues and Lung Issues along with Major Fluid Overload to the point I had to be Hospitalized for 3 Days to Drain the Fluid Off of my Body!! Then for the past 2 Days Ive had Chills, Stomach Pain and have been Tired a lot!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-28
    Dose 2 — Pfizer-BioNTech
  8. 2021-06-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: No I usually have Joint Pain as well as Body Aches! They just arent usually this painful or bothersome!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-04
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-06-11
    Survey response — day 14, dose 2
    MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Im in a lot of pain, but its not from the Vaccination its due to an Underlying Medical Issue that Ive had for many years!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-18
    Survey response — day 21, dose 2
    MedDRA: Endocarditis — 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, Hospitalization
    Free text: Endocarditis (a Heart condition)!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-18
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-25
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-25
  15. 2021-07-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-11
    Survey response — day 42, dose 2
    MedDRA: Pain, Pre-existing disease — Feeling: Good
    Free text: Its my neuropathy Im hurting today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-27
    Survey response — 3 months, dose 2
    MedDRA: Respiratory syncytial virus infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: I have RSV
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-27
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-31
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  20. 2021-11-28
    Survey response — 6 months, dose 2
    MedDRA: Cardiac failure congestive, Hypervolaemia, Peripheral swelling, Swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Congestive Heart Failure Swelling in my leg's, arm's, hand's and stomach due to Fluid Overload
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-28
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  22. 2021-11-29
  23. 2021-11-29
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-05-06Pfizer-BioNTech
22021-05-28Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-22

Symptoms: Breathing Issues and Lung Issues along with Major Fluid Overload to the point I had to be Hospitalized for 3 Days to Drain the Fluid Off of my Body!! Then for the past 2 Days Ive had Chills, Stomach Pain and have been Tired a lot!!

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): No I usually have Joint Pain as well as Body Aches! They just arent usually this painful or bothersome!!

Release 9 — day 14, dose 2

2021-06-11

Symptoms: Im in a lot of pain, but its not from the Vaccination its due to an Underlying Medical Issue that Ive had for many years!

Release 9 — day 21, dose 2

2021-06-18

Symptoms: Endocarditis (a Heart condition)!

Release 9 — day 42, dose 2

2021-07-11

Symptoms: Its my neuropathy Im hurting today

Release 9 — 3 months, dose 2

2021-08-27

Symptoms: I have RSV

Release 10 — 6 months, dose 2

2021-11-28

Symptoms: Congestive Heart Failure Swelling in my leg's, arm's, hand's and stomach due to Fluid Overload

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
SDAbdominal pain upper ✓ ✓ ✓
SDCardiac failure congestive · · ✓
SDChills ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEndocarditis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFluid retention ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDHypervolaemia · · ✓
SDLung disorder ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPeripheral swelling · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRespiratory syncytial virus infection ✓ · ✓
SDSwelling · · ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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