64Q-27833-04274
4 vaccinations
13 coded responses
27 check-ins
13 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 288 / NC
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-03
Dose 1 — Pfizer-BioNTech
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2021-02-04
Registered in v-safe
- 2021-02-05
- 2021-02-06
- 2021-02-07
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: Muscle score, temperature 96MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-11
- 2021-02-17
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2021-02-24
Dose 2 — Pfizer-BioNTech
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2021-02-24
Survey response — day 0, dose 2MedDRA: Dizziness, Facial pain, Paraesthesia, Toothache — Feeling: Fair · Site: PainFree text: Toes and finger tips tingle, light headed at first, teeth and facial bones acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Gastric disorder — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Gastric condition flare up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Toes finger tips tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: cold soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain was down my leg. Not covid relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
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2021-03-10
Survey response — day 14, dose 2MedDRA: Joint stiffness, Myalgia, Swelling face, Swelling of eyelid — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Muscle soreness, joints stiff, eyes lids & under swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 21, dose 2MedDRA: Gait disturbance, Movement disorder, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pain from left shoulder to left big toe, like a much too tight heavy cable. Couldnt walk well or bend foot to go down stairs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 28, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: Pain down right leg. Dont know if ligaments or nerve problem.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-07
Survey response — day 42, dose 2MedDRA: Asthenia, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Today muscles hurt no energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Dry needling, Nervous system disorder, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: A nerve problem im my right leg. I had some dry needle treatment and it is much better · Healthcare visit (other): Referred to a therapistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-28
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2021-09-10
Dose 3 — Pfizer-BioNTech
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2022-02-24
Survey response — 12 months, dose 2MedDRA: Blepharitis, Migraine, Pre-existing disease, Tinnitus, Unevaluable event, Vertigo — Feeling: GoodFree text: Normal for me auto immune gastritis; vertico, migraines; inflammation eyesocket skin, left leg muscles, sounds and pulses in ears, sinuses. Not all the time nor same time. After vaccinations these mostly disappeared. I am getting a boaster SaturdayMedDRA releases: 2024-11 · check-in free text available
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2022-02-26
Dose 4 — Pfizer-BioNTech
- 2022-03-13
- 2022-04-14
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2022-05-13
Call successfulNot applicable - Accidental Reporting
- 2022-05-29
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2022-08-27
Survey response — 6 months, dose 4MedDRA: Asthenia, Dizziness, Headache, Increased viscosity of upper respiratory secretion, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dizzy, bad headache different from usual, clear thick mucus, lack of energy, inflamed sinusMedDRA releases: 2024-11 · check-in free text available
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2022-08-27
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-08-30
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-09-10 | Pfizer-BioNTech | No |
| 4 | 2022-02-26 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle score, temperature 96
Release 4 — day 0, dose 2
Systemic reaction (other): Toes and finger tips tingle, light headed at first, teeth and facial bones ache
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Gastric condition flare up.
Systemic reaction (other): Toes finger tips tingling
Systemic reaction (other): cold sore
Systemic reaction (other): Pain was down my leg. Not covid related
Release 5 — day 14, dose 2
Symptoms: Muscle soreness, joints stiff, eyes lids & under swollen
Release 5 — day 21, dose 2
Symptoms: Pain from left shoulder to left big toe, like a much too tight heavy cable. Couldnt walk well or bend foot to go down stairs.
Release 6 — day 28, dose 2
Symptoms: Pain down right leg. Dont know if ligaments or nerve problem.
Release 7 — day 42, dose 2
Symptoms: Today muscles hurt no energy
Release 8 — 3 months, dose 2
Symptoms: A nerve problem im my right leg. I had some dry needle treatment and it is much better
Healthcare visit (other): Referred to a therapist
Release 11 — 12 months, dose 2
Symptoms: Normal for me auto immune gastritis; vertico, migraines; inflammation eyesocket skin, left leg muscles, sounds and pulses in ears, sinuses. Not all the time nor same time. After vaccinations these mostly disappeared. I am getting a boaster Saturday cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: Dizzy, bad headache different from usual, clear thick mucus, lack of energy, inflamed sinus
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Blepharitis | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dry needling | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Movement disorder | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nervous system disorder | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SD | Swelling of eyelid | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Gastric disorder | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release