4XF-17666-98817
5 vaccinations
11 coded responses
46 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 906 / CA
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-18
Dose 1 — Pfizer-BioNTech
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2021-03-11
Dose 2 — Pfizer-BioNTech
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2021-03-12
Registered in v-safe
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, NauseaAdult check-in
- 2021-03-13
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Oxygen consumption decreased — Feeling: Good · HeadacheFree text: Low oxygen levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Oxygen saturation decreased — Feeling: Good · Headache, Abdominal painFree text: Sharp pain in top abdominal area. Low oxygen levels in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Oxygen saturation decreased — Feeling: Good · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Low oxygen levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 21, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: My oxygen levels have been dipping. I had a Cat-scan of my lungs on 4/5/21 and have an appointment with ENT on 4/14/21 · Healthcare visit (other): RadiologyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — day 35, dose 2MedDRA: Cough, Headache, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Lingering harder headache on back oh head. · Healthcare visit (other): Went to ENT appointment for lingering coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Today is my first day that My headaches arent so bad..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-22
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2021-06-22
Call successfulCompleted over the phone
- 2021-09-09
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2021-10-29
Dose 3 — Pfizer-BioNTech
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-14
- 2021-11-19
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2021-11-26
Survey response — day 28, dose 3MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More like vertigoMedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2021-12-10
- 2022-01-28
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2022-04-13
Dose 4 — Pfizer-BioNTech
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2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-22
- 2022-04-27
- 2022-05-04
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2022-05-11
Survey response — day 28, dose 4MedDRA: Pain, Unevaluable event — Feeling: GoodFree text: Check painMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-25
- 2022-07-15
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2022-09-08
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-18
- 2022-09-24
- 2022-10-01
- 2022-10-15
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2022-10-20
Survey response — day 42, dose 5MedDRA: Chills, Ear pain, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, chills, ear ache, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Pfizer-BioNTech | Flu |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Low oxygen levels
Systemic reaction (other): Sharp pain in top abdominal area. Low oxygen levels in the morning
Systemic reaction (other): Low oxygen levels
Release 6 — day 21, dose 2
Symptoms: Headaches
Release 7 — day 28, dose 2
Symptoms: My oxygen levels have been dipping. I had a Cat-scan of my lungs on 4/5/21 and have an appointment with ENT on 4/14/21
Healthcare visit (other): Radiology
Release 7 — day 35, dose 2
Symptoms: Lingering harder headache on back oh head.
Healthcare visit (other): Went to ENT appointment for lingering cough
Release 7 — day 42, dose 2
Symptoms: Today is my first day that My headaches arent so bad..
Release 9 — 3 months, dose 2
Symptoms: Headaches
Release 10 — day 28, dose 3
Symptoms: More like vertigo
Release 11 — day 28, dose 4
Symptoms: Check pain
Release 12 — day 42, dose 5
Symptoms: Fever, chills, ear ache, runny nose
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 |
|---|---|---|---|---|
| HCVO | Cough | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Oxygen consumption decreased | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release