V5X-36712-87254
4 vaccinations
5 coded responses
47 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 254 / WV
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Pfizer-BioNTech
- 2021-03-26
- 2021-03-27
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-29
- 2021-04-30
- 2021-05-08
- 2021-05-22
- 2021-05-30
- 2021-06-04
- 2021-07-23
- 2021-10-22
-
2021-11-19
Dose 3 — Pfizer-BioNTech
-
2021-11-19
Survey response — day 0, dose 3MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Joint pains, Muscle or body achesFree text: Elbow/lower arm pain on same arm as injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-26
- 2021-12-04
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-02-18
- 2022-05-21
-
2022-11-05
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · DiarrheaAdult check-in
- 2022-11-09
- 2022-11-11
- 2022-11-12
- 2022-11-19
-
2022-11-26
Survey response — day 21, dose 4MedDRA: Abdominal pain, Myalgia — Feeling: FairFree text: Muscle aches, abdominal cramps,MedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
- 2022-12-12
-
2022-12-17
Survey response — day 42, dose 4MedDRA: Muscle spasms, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle aches and spasms · Healthcare visit (other): ChiropractorMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-20
-
2023-02-06
Survey response — 3 months, dose 4MedDRA: Ear pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-05-06
Survey response — 6 months, dose 4MedDRA: Balance disorder, Ear disorder — 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 · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-06
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-08
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-11-19 | Pfizer-BioNTech | No |
| 4 | 2022-11-05 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-17 | Unsuccessful | |
| 2023-05-06 | Unsuccessful |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Elbow/lower arm pain on same arm as injection site
Release 12 — day 21, dose 4
Symptoms: Muscle aches, abdominal cramps,
Release 12 — day 42, dose 4
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 | Abdominal pain | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Ear disorder | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release