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5YV-77558-11212

2 vaccinations 3 coded responses 9 check-ins 3 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
800 / CO
Registered
2021-02-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Registered in v-safe
  2. 2021-02-20
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Dose 2 — Pfizer-BioNTech
  5. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-22
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Left hip is painful. Bilateral X-ray taken but not yet read. Bone density exam scheduled in early May. Unlikely related to vaccine. · Healthcare visit (other): In person consult with my functional medicine provider. In person consult with my PCP scheduled in late May.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-22
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-06-10
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Intervertebral disc protrusion, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Further slippage in my L4-L5 vertebrae resulting in left hip and leg pain. · Healthcare visit (other): X-ray, MRI and two doctors office visits (PCP &specialist)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-10
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-18
  14. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Spinal fusion surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Had surgery to correct and fuse my L4-L5 vertebrae
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-09-09
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-09-15
  17. 2021-09-15
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2022-03-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Pfizer-BioNTech
22021-03-11Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Left hip is painful. Bilateral X-ray taken but not yet read. Bone density exam scheduled in early May. Unlikely related to vaccine.
Healthcare visit (other): In person consult with my functional medicine provider. In person consult with my PCP scheduled in late May.

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Further slippage in my L4-L5 vertebrae resulting in left hip and leg pain.
Healthcare visit (other): X-ray, MRI and two doctors office visits (PCP &specialist)

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Had surgery to correct and fuse my L4-L5 vertebrae

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
HCVOOffice visit ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDIntervertebral disc protrusion · · ✓
SDPain in extremity ✓ ✓ ✓
SDSpinal fusion surgery · · ✓

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