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4XZ-15250-17060

3 vaccinations 5 coded responses 16 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
921 / CA
Registered
2021-05-17
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-16
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-17
    Registered in v-safe
  4. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint pains
    Free text: Jt pain perhaps my usual arthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-30
    Survey response — day 14, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Left leg / knee pain, which began prior to vaccines. The pain which began behind knee and has not gotten better since receiveing vaccines. Dr visit on May 12.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-30
    Report sent to call center — day 14, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-07
    Survey response — day 21, dose 2
    MedDRA: Cardiac flutter, Heart rate increased, Palpitations — Feeling: Poor
    Free text: 2 am Heart palpitation high hear rate 116, bp 158.89 at 4pm. day before heart flutters while sleeping.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-20
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-06-27
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Heart rate increased, Pain in extremity, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Periodic bouts of rapid heart rate ar rest. Usually 62 - 68. Maybe for an hour runs at 74 to 78. Left knee and leg pain. Mri scheduled June 30. · Healthcare visit (other): Physical therapy on knee and lower back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-27
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-06-28
    Call successful
    Participant prefers to complete VAERS report online
  19. 2021-08-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-11-16
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2022-01-10
    Dose 3 — Pfizer-BioNTech
  22. 2022-05-17
    Survey response — 12 months, dose 2
    MedDRA: Cough, Nasopharyngitis, Sinus congestion — 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 consultation
    Free text: Sinus congestion, cold and cough
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-05-17
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  24. 2022-05-18
  25. 2022-05-18
  26. 2022-05-18
  27. 2022-05-18
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  28. 2022-07-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-25Pfizer-BioNTech
22021-05-16Pfizer-BioNTech
32022-01-10Pfizer-BioNTech No

Call center

3 call center cases

3 successful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-20

Systemic reaction (other): Jt pain perhaps my usual arthritis

Release 8 — day 14, dose 2

2021-05-30

Symptoms: Left leg / knee pain, which began prior to vaccines. The pain which began behind knee and has not gotten better since receiveing vaccines. Dr visit on May 12.

Release 8 — day 21, dose 2

2021-06-07

Symptoms: 2 am Heart palpitation high hear rate 116, bp 158.89 at 4pm. day before heart flutters while sleeping.

Release 9 — day 42, dose 2

2021-06-27

Symptoms: Periodic bouts of rapid heart rate ar rest. Usually 62 - 68. Maybe for an hour runs at 74 to 78. Left knee and leg pain. Mri scheduled June 30.
Healthcare visit (other): Physical therapy on knee and lower back

Release 11 — 12 months, dose 2

2022-05-17

Symptoms: Sinus congestion, cold and cough

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
HCVOPhysiotherapy ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCardiac flutter ✓ ✓ ✓
SDCough · · ✓
SDHeart rate increased ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDPain in extremity ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSinus congestion · · ✓
SROArthralgia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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