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
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Pfizer-BioNTech
- 2021-03-01
-
2021-03-11
Dose 2 — Pfizer-BioNTech
- 2021-03-29
- 2021-04-03
- 2021-04-10
- 2021-04-15
-
2021-04-22
Survey response — day 42, dose 2MedDRA: Arthralgia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree 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
-
2021-04-22
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-10
Survey response — 3 months, dose 2MedDRA: Arthralgia, Intervertebral disc protrusion, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professionalFree 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
-
2021-06-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-18
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Spinal fusion surgery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Had surgery to correct and fuse my L4-L5 vertebraeMedDRA releases: 2024-11 · check-in free text available
-
2021-09-09
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
-
2021-09-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 7 — day 42, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Spinal fusion surgery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release