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
-
2021-05-06
Dose 1 — Pfizer-BioNTech
-
2021-05-07
Registered in v-safe
- 2021-05-07
- 2021-05-08
- 2021-05-09
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2021-05-22
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Chills, Dyspnoea, Fatigue, Fluid retention, Hospitalisation, Lung disorder — Feeling: FairFree 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
-
2021-05-28
Dose 2 — Pfizer-BioNTech
-
2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree 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
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2021-06-04
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-06-11
Survey response — day 14, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-06-18
Survey response — day 21, dose 2MedDRA: 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, HospitalizationFree text: Endocarditis (a Heart condition)!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
- 2021-06-25
- 2021-07-02
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2021-07-11
Survey response — day 42, dose 2MedDRA: Pain, Pre-existing disease — Feeling: GoodFree text: Its my neuropathy Im hurting todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-27
Survey response — 3 months, dose 2MedDRA: 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 visitFree text: I have RSVMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
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)
-
2021-08-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-28
Survey response — 6 months, dose 2MedDRA: 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, HospitalizationFree text: Congestive Heart Failure Swelling in my leg's, arm's, hand's and stomach due to Fluid OverloadMedDRA releases: 2024-11 · check-in free text available
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2021-11-28
Report sent to call center — 6 months, dose 2Be 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)
- 2021-11-29
-
2021-11-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-06 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 8 — day 14, dose 1
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
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
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
Symptoms: Endocarditis (a Heart condition)!
Release 9 — day 42, dose 2
Symptoms: Its my neuropathy Im hurting today
Release 9 — 3 months, dose 2
Symptoms: I have RSV
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Cardiac failure congestive | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Endocarditis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fluid retention | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Hypervolaemia | · | · | ✓ |
| SD | Lung disorder | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory syncytial virus infection | ✓ | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release