5F9-15183-52418
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — day 21, dose 1MedDRA: Fatigue, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Itching upper torso, very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Dose 2 — Pfizer-BioNTech
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Herpes zoster, Self-medication — Feeling: Good · Site: PainFree text: I have had shingles on my head on two different occasions. The first time was before I was vaccinated, the second time was after my one time vaccine. I completed the 2 part shot in 2019. In the the two places I had shingles ( top of my head and on the bone behind my ear, I had sharp pain this morning. I took two Tylenol and it subsided. No redness or itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash on chest and neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-17
Survey response — day 7, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
- 2021-03-29
- 2021-09-06
- 2021-12-22
-
2021-12-22
Call successfulDoes not wish to fill out VAERS report
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-08 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 1
Symptoms: Itching upper torso, very tired
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have had shingles on my head on two different occasions. The first time was before I was vaccinated, the second time was after my one time vaccine. I completed the 2 part shot in 2019. In the the two places I had shingles ( top of my head and on the bone behind my ear, I had sharp pain this morning. I took two Tylenol and it subsided. No redness or itching.
Systemic reaction (other): Rash on chest and neck
Release 5 — day 7, dose 2
Systemic reaction (other): UTI
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 |
|---|---|---|---|---|
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release