4XM-14415-66106
4 vaccinations
12 coded responses
45 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 209 / MD
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-08
Dose 1 — Pfizer-BioNTech
-
2021-03-08
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: FairFree text: A little tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
-
2021-03-22
Survey response — day 14, dose 1MedDRA: Headache, Self-medication — Feeling: PoorFree text: Headache has not abated since onset and does not respond to over the counter pain relieversMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Dose 2 — Pfizer-BioNTech
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Muscle spasms — Feeling: Good · ChillsFree text: Leg cramps last night along with the chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Pain in extremity — Feeling: Fair · Muscle or body achesFree text: Burning pain in non-vaccination site armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 21, dose 2MedDRA: Feeling abnormal, Headache, Muscle spasms, Nausea, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, muscle spasms, heart palpitations, brain fog, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
-
2021-05-03
Survey response — day 35, dose 2MedDRA: Back pain, Diaphragmalgia, Flank pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Persistent pain in center of back and around sides and front diaphragm lasting throughout the day and night. · Healthcare visit (other): Specialist- orthopedicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
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)
- 2021-05-10
- 2021-06-28
-
2021-09-01
Dose 3 — Moderna
- 2021-09-27
- 2021-09-27
- 2021-09-29
- 2021-10-06
-
2021-10-13
Survey response — day 42, dose 3MedDRA: Back pain, Extrasystoles — Feeling: FairFree text: Pain in middle of back and heart skippy thingsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-01
Survey response — 3 months, dose 3MedDRA: Headache, Nasal discomfort, Pain — Feeling: FairFree text: Headache, body ache, burning in nostrilsMedDRA releases: 2024-11 · check-in free text available
- 2022-03-02
-
2022-04-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-06-23
Dose 4 — Pfizer-BioNTech
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-27
- 2022-06-28
-
2022-06-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2022-06-30
- 2022-07-07
-
2022-07-14
Survey response — day 21, dose 4MedDRA: Extrasystoles — Feeling: FairFree text: Heart skippy sensationMedDRA releases: 2024-11 · check-in free text available
- 2022-07-21
- 2022-07-28
- 2022-08-04
- 2022-09-22
-
2022-12-22
Survey response — 6 months, dose 4MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, Sneezing — Feeling: Poor · 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: Congestion, sore throat, headache, sneezing, cough and body achesMedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 6 months, dose 4Be 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)
-
2022-12-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-06-23
Survey response — 12 months, dose 4MedDRA: Bronchitis — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Pfizer-BioNTech | |
| 2 | 2021-03-29 | Pfizer-BioNTech | |
| 3 | 2021-09-01 | Moderna | No |
| 4 | 2022-06-23 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A little tiredness
Release 6 — day 14, dose 1
Symptoms: Headache has not abated since onset and does not respond to over the counter pain relievers
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Leg cramps last night along with the chills
Systemic reaction (other): Burning pain in non-vaccination site arm
Release 7 — day 21, dose 2
Symptoms: Headache, muscle spasms, heart palpitations, brain fog, nausea
Release 8 — day 35, dose 2
Symptoms: Persistent pain in center of back and around sides and front diaphragm lasting throughout the day and night.
Healthcare visit (other): Specialist- orthopedic
Release 10 — day 42, dose 3
Symptoms: Pain in middle of back and heart skippy things
Release 10 — 3 months, dose 3
Symptoms: Headache, body ache, burning in nostrils
Release 12 — day 21, dose 4
Symptoms: Heart skippy sensation
Release 12 — 6 months, dose 4
Symptoms: Congestion, sore throat, headache, sneezing, cough and body aches
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diaphragmalgia | ✓ | ✓ | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release