4ZC-40225-23341
2 vaccinations
2 coded responses
5 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 981 / WA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Registered in v-safe
- 2021-04-07
-
2021-04-13
Dose 2 — Pfizer-BioNTech
- 2021-04-19
-
2021-04-29
Survey response — day 14, dose 2MedDRA: Limb discomfort, Office visit, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash on spine but also had last Shingle shot 2 weeks before last Covid vaccine. Been have nerve issues with both arms but I think it is the shingle shot rather then the Covid. I barely bumped my funny bone and could hardy pick up groceries, just odd. · Healthcare visit (other): In person doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
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)
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Anxiety, Back disorder, Diarrhoea, Gastric disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Back went out after traveling to Hawaii worried I had blood clot. Stomach issues, diarrhea off and on since shot. Husband who had shot and back went out after we got back from Hawaii, our backs went out maybe from being inactive for a year.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-12
-
2022-04-12
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 8 — day 14, dose 2
Symptoms: Rash on spine but also had last Shingle shot 2 weeks before last Covid vaccine. Been have nerve issues with both arms but I think it is the shingle shot rather then the Covid. I barely bumped my funny bone and could hardy pick up groceries, just odd. cut off by CDC
Healthcare visit (other): In person doctor visit
Release 8 — day 28, dose 2
Symptoms: Back went out after traveling to Hawaii worried I had blood clot. Stomach issues, diarrhea off and on since shot. Husband who had shot and back went out after we got back from Hawaii, our backs went out maybe from being inactive for a year.
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Back disorder | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release