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CAQ-42574-11671

4 vaccinations 8 coded responses 17 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
100 / NY
Registered
2021-12-02
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-19
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-02
    Registered in v-safe
  4. 2021-12-02
    Dose 3 — Pfizer-BioNTech
  5. 2021-12-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Abdominal pain
    Adult check-in
  6. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cardiac discomfort, Gastrointestinal pain, Pain, Renal pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: A strange feeling of pin like stabbing in my kidneys or intestines that comes and goes. A feeling of pressure around my heart that comes and goes.
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Palpitations — Feeling: Fair
    Free text: Heart palpitations
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-09
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-12-16
    Survey response — day 14, dose 3
    MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Severe headache
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-23
    Survey response — day 21, dose 3
    MedDRA: Headache, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severe stabbing shooting pain in the back right side of my heady hat lasted for 5 days.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-30
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  15. 2022-01-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-03-03
    Survey response — 3 months, dose 3
    MedDRA: Angina pectoris, Chills, Heart rate increased, Oropharyngeal pain, Rash — Feeling: Fair · 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 visit
    Free text: Pinching in my heart, high heart rate, rash covering body, sore throat, chills.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-03
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  19. 2022-03-07
  20. 2022-09-13
    Dose 4 — Pfizer-BioNTech
  21. 2022-10-12
    Survey response — day 28, dose 4
    MedDRA: Flushing, Injection site pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pain in arm where booster was administered, headache, joint pain, fatigue, that all started one day after vaccine, and last for 2-3 days. Shortly after I began experiencing flushing which has continued to occur daily.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-18
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  23. 2022-10-25
    Survey response — day 42, dose 4
    MedDRA: Dyspnoea, Fatigue, Hyperhidrosis, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Itching, sweating, and feeling winded/tired
    MedDRA releases: 2024-11 · check-in free text available
  24. 2023-03-16
    Survey response — 6 months, dose 4
    MedDRA: Abortion spontaneous, Blepharospasm — Feeling: Good
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Pfizer-BioNTech No
22021-03-19Pfizer-BioNTech No
32021-12-02Pfizer-BioNTech No
42022-09-13Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-03 Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): A strange feeling of pin like stabbing in my kidneys or intestines that comes and goes. A feeling of pressure around my heart that comes and goes.

2021-12-08

Systemic reaction (other): Heart palpitations

Release 10 — day 14, dose 3

2021-12-16

Symptoms: Severe headache

Release 10 — day 21, dose 3

2021-12-23

Symptoms: Severe stabbing shooting pain in the back right side of my heady hat lasted for 5 days.

Release 11 — 3 months, dose 3

2022-03-03

Symptoms: Pinching in my heart, high heart rate, rash covering body, sore throat, chills.

Release 12 — day 28, dose 4

2022-10-12

Symptoms: Pain in arm where booster was administered, headache, joint pain, fatigue, that all started one day after vaccine, and last for 2-3 days. Shortly after I began experiencing flushing which has continued to occur daily.

Release 12 — day 42, dose 4

2022-10-25

Symptoms: Itching, sweating, and feeling winded/tired

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
SDAbortion spontaneous · · ✓
SDAngina pectoris · · ✓
SDBlepharospasm · · ✓
SDChills · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDFlushing · · ✓
SDHeadache · · ✓
SDHeart rate increased · · ✓
SDHyperhidrosis · · ✓
SDInjection site pain · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPruritus · · ✓
SDRash · · ✓
SROCardiac discomfort · · ✓
SROGastrointestinal pain · · ✓
SROPain · · ✓
SROPalpitations · · ✓
SRORenal pain · · ✓

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