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
-
2021-04-25
Dose 1 — Pfizer-BioNTech
-
2021-05-16
Dose 2 — Pfizer-BioNTech
-
2021-05-17
Registered in v-safe
- 2021-05-17
- 2021-05-18
- 2021-05-19
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Joint painsFree text: Jt pain perhaps my usual arthritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-22
- 2021-05-23
-
2021-05-30
Survey response — day 14, dose 2MedDRA: 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 visitFree 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
-
2021-05-30
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-07
Survey response — day 21, dose 2MedDRA: Cardiac flutter, Heart rate increased, Palpitations — Feeling: PoorFree 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
- 2021-06-13
- 2021-06-20
-
2021-06-27
Survey response — day 42, dose 2MedDRA: Arthralgia, Heart rate increased, Pain in extremity, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-27
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-28
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-17
- 2021-11-16
-
2022-01-10
Dose 3 — Pfizer-BioNTech
-
2022-05-17
Survey response — 12 months, dose 2MedDRA: 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 consultationFree text: Sinus congestion, cold and coughMedDRA releases: 2024-11 · check-in free text available
-
2022-05-17
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-18
- 2022-05-18
- 2022-05-18
-
2022-05-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-25 | Pfizer-BioNTech | |
| 2 | 2021-05-16 | Pfizer-BioNTech | |
| 3 | 2022-01-10 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
2 waits over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Jt pain perhaps my usual arthritis
Release 8 — day 14, dose 2
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release