XWD-13768-07112
2 vaccinations
9 coded responses
14 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 015 / MA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
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2021-03-16
Dose 1 — Pfizer-BioNTech
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2021-04-06
Dose 2 — Pfizer-BioNTech
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2021-04-07
Registered in v-safe
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Gait inability, Muscle spasms — Feeling: Poor · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Muscle spasms, Pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-13
Survey response — 7 day, dose 2MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-21
Survey response — 14 day, dose 2MedDRA: Back pain, Cardiac flutter, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-27
- 2021-05-07
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2021-05-11
Survey response — 35 day, dose 2MedDRA: Exposure to SARS-CoV-2, Muscle spasms — Feeling: Fair · Be unable to work, 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: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-11
Report sent to call center — 35 day, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-18
Survey response — 42 day, dose 2MedDRA: Pharyngitis streptococcal — Feeling: Good · Be unable to work, 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: 2021-09,2023-04,2024-11 · check-in answers available
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2021-05-18
Report sent to call center — 42 day, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-08
Survey response — 3 month, dose 2MedDRA: Muscle spasms — Feeling: Good · 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: 2021-09,2023-04,2024-11 · check-in answers available
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2021-07-08
Report sent to call center — 3 month, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-06
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-18 | Successful | Participant prefers to complete VAERS report online |
| 2021-07-08 | Successful 2021-07-12 |
Participant prefers to complete VAERS report online |
Free text
Release 7
Systemic reaction (other): Heavy feeling in chest area for a few hours after shot.
Systemic reaction (other): Back spasms so bad I cant walk.
Systemic reaction (other): Severe back pain. Spasms for 1 day. Now real sore. My other friend saying there back is killing them too
Systemic reaction (other): Sore lower back
Systemic reaction (other): Lower back pain.
Symptoms: Heart racing Feels like fluttering in the heart Still lower back is very painful
Release 8
Symptoms: My lower back spasms never went away. They slowed down but every time I bend a certain way it spasms again. And my daughter got the shots with me and was diagnosed with covid yesterday and she is sick. And she hasnt left the house in Weeks.
Symptoms: Strep throat
Release 9
Symptoms: The back spasms caused permanent damage
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pharyngitis streptococcal | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Gait inability | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release