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Y4V-13943-10083

3 vaccinations 4 coded responses 7 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
852 / AZ
Registered
2021-04-07
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-24
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-07
    Registered in v-safe
  4. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have severe pain in the arm where vaccine was administered. · Healthcare visit (other): Have scheduled appt for June with PCP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-07
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-08-25
    Survey response — 6 months, dose 2
    MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Stomach virus
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2022-01-21
    Dose 3 — Pfizer-BioNTech
  9. 2022-02-24
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Positive Covid on 1/13/2022. Fatigue, headache, body aches, congestion.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-03-29
  11. 2022-04-22
    Survey response — 3 months, dose 3
    MedDRA: Office visit, Sialoadenitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Acute sialadenitis · Healthcare visit (other): Primary care doctor office
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-22
    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
    1 call case(s)
  13. 2022-04-26
  14. 2022-07-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  15. 2023-01-21
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-31Pfizer-BioNTech
22021-02-24Pfizer-BioNTech
32022-01-21Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-07 Unsuccessful
2022-04-22 Unsuccessful

Free text

Release 7 — day 42, dose 2

2021-04-07

Symptoms: I have severe pain in the arm where vaccine was administered.
Healthcare visit (other): Have scheduled appt for June with PCP

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Stomach virus

Release 11 — 12 months, dose 2

2022-02-24

Symptoms: Positive Covid on 1/13/2022. Fatigue, headache, body aches, congestion.

Release 11 — 3 months, dose 3

2022-04-22

Symptoms: Acute sialadenitis
Healthcare visit (other): Primary care doctor office

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
HCVOOffice visit ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDGastroenteritis viral ✓ · ✓
SDHeadache · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSialoadenitis · · ✓

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