5XR-11201-37856
4 vaccinations
9 coded responses
34 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Pfizer-BioNTech
- 2021-01-04
- 2021-01-08
- 2021-01-10
- 2021-01-11
- 2021-01-18
-
2021-01-25
Dose 2 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Muscle tightness — Feeling: Fair · Joint pains · Be unable to do your normal daily activitiesFree text: Nick tightness and spasmsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Neck pain, Neuralgia — Feeling: Fair · Joint pains · Be unable to work, Be unable to do your normal daily activitiesFree text: Nerve pain neck to shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — day 7, dose 2MedDRA: Neuralgia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Nerve painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-15
Survey response — day 21, dose 2MedDRA: Arthralgia, Back pain, Neck pain, Neuralgia, Office visit, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Nerve pain has has become 7 out of tenStill have back,, neck and shoulder pain have gotten worst. · Healthcare visit (other): Neurologist office VisitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
- 2021-08-03
-
2021-08-30
Dose 3 — Pfizer-BioNTech
- 2021-10-05
- 2021-10-11
- 2021-11-30
- 2022-02-28
-
2022-04-10
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Runny nose and CoughMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Dyspnoea, Headache, Nasal congestion, SARS-CoV-2 test — Feeling: Poor · Fever · Headache, Muscle or body aches · 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: Systemic reaction (other): Cough, nasal congestion , breathing difficulty , headache · Healthcare visit (other): Covid test RTPCRMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — days 1–6 daily, dose 4Be 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)
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2022-04-19
Survey response — day 7, dose 4MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Congestion in the nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-04-22
-
2022-04-22
Callback requested for10:30AM ET
-
2022-04-22
Call successfulDoes not wish to fill out VAERS report
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2022-04-22
Call successfulCompleted over the phone
-
2022-04-22
Call successfulCompleted over the phone
- 2022-04-24
- 2022-05-02
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-07-10
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2022-10-10
Survey response — 6 months, dose 4MedDRA: COVID-19, Cough, Dyspnoea, Nasopharyngitis, Oxygen saturation decreased, Pyrexia, Rhinorrhoea — 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 · Emergency room or emergency department visitFree text: Infected with COVID-19 . Nortside wouldn't give me any details on of the strain. I was treated with paxlovid . Had breathless, 103 temperature. Cold runny nose, cough. Low oz level 87-92. They were considering to admit and I did not agree.MedDRA releases: 2024-11 · check-in free text available
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2022-10-10
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 prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-11
- 2022-10-11
- 2022-10-11
- 2022-10-11
-
2022-10-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-10
Survey response — 12 months, dose 4MedDRA: Chest discomfort, Cough, Decreased appetite, Oxygen saturation decreased, Pyrexia — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-10
Report sent to call center — 12 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)
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Pfizer-BioNTech | |
| 2 | 2021-01-25 | Pfizer-BioNTech | |
| 3 | 2021-08-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-10 | Pfizer-BioNTech | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
VAERS report filed, before or during a call: 3
2 waits over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Nick tightness and spasms
Systemic reaction (other): Nerve pain neck to shoulder.
Release 3 — day 7, dose 2
Systemic reaction (other): Nerve pain
Release 4 — day 21, dose 2
Symptoms: Nerve pain has has become 7 out of tenStill have back,, neck and shoulder pain have gotten worst.
Healthcare visit (other): Neurologist office Visit
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose and Cough
Systemic reaction (other): Cough, nasal congestion , breathing difficulty , headache
Healthcare visit (other): Covid test RTPCR
Release 11 — day 7, dose 4
Systemic reaction (other): Congestion in the nose.
Release 12 — 6 months, dose 4
Symptoms: Infected with COVID-19 . Nortside wouldn't give me any details on of the strain. I was treated with paxlovid . Had breathless, 103 temperature. Cold runny nose, cough. Low oz level 87-92. They were considering to admit and I did not agree.
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 | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release