4XU-11857-84440
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 280 / NC
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Pfizer-BioNTech
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: 1000mg tylenol night before injection, 1000mg morning of, must take 1000mg atvkeast every 10 hours to keep symptoms away. 3rd day post injection 500mg tylenol and no symptoms other than injection site tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-06
- 2021-01-13
-
2021-03-31
Survey response — 3 months, dose 1MedDRA: Alopecia, Arthritis, Dyspnoea, Fatigue, Joint swelling, Musculoskeletal stiffness, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Arthritis nodules occurred on fingers, joint swelling, pain and stiffness ( no previous hx.) Increased hair loss, fatigue and some noticable shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-12-30
Survey response — 12 months, dose 1MedDRA: Ageusia, Anosmia, Cough, Dyspnoea, Fatigue, Headache, Medical counselling, SARS-CoV-2 test positive, Sinusitis — Feeling: Good · Be unable to work or attend school, 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: Headache, sinus infection, cough, loss taste & smell, extreme fatigue shortness of breath · Healthcare visit (other): Covid positive pharmacy PCR testMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-05
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): 1000mg tylenol night before injection, 1000mg morning of, must take 1000mg atvkeast every 10 hours to keep symptoms away. 3rd day post injection 500mg tylenol and no symptoms other than injection site tenderness
Release 6 — 3 months, dose 1
Symptoms: Arthritis nodules occurred on fingers, joint swelling, pain and stiffness ( no previous hx.) Increased hair loss, fatigue and some noticable shortness of breath
Release 10 — 12 months, dose 1
Symptoms: Headache, sinus infection, cough, loss taste & smell, extreme fatigue shortness of breath
Healthcare visit (other): Covid positive pharmacy PCR test
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 | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release