Z24-17586-34013
4 vaccinations
8 coded responses
50 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 836 / ID
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YMY-18083-76389
Other · Male · 2022-04-14
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Pfizer-BioNTech
- 2021-02-12
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Joint painsFree text: MoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 42, dose 2MedDRA: Musculoskeletal pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: From the back of my calfs to my back of my thighs to my butt cheeks I have had severe pain. I have had this for over a month Just now wondering if it is because of the COVID shots?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-14
Survey response — 3 months, dose 2MedDRA: Physiotherapy, Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have sciatica down both sides of my body from my waist down the backs of my legs to my ankles. Been going to a physical therapist for about 2 months now. Not much relief. Been that way for about 3 months. I hope its not from the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-13
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
-
2021-11-03
Survey response — day 35, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-12-29
- 2022-03-30
-
2022-04-12
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-26
-
2022-05-03
Survey response — day 21, dose 4MedDRA: Oropharyngeal pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Really bad sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-04
-
2022-05-05
Call successfulNot applicable - Accidental Reporting
-
2022-05-11
Survey response — day 28, dose 4MedDRA: Malaise, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad virus(?). Pretty sick. Went to Urgent care twice.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-26
-
2022-07-14
Survey response — 3 months, dose 4MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The backs of my legs are aching badlyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — 6 months, dose 4MedDRA: Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have a cough that won't go away! · Healthcare visit (other): Lung Dr.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-03 | Successful 2022-05-05 |
Not applicable - Accidental Reporting |
| 2022-10-11 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mo
Release 6 — day 42, dose 2
Symptoms: From the back of my calfs to my back of my thighs to my butt cheeks I have had severe pain. I have had this for over a month Just now wondering if it is because of the COVID shots?
Release 8 — 3 months, dose 2
Symptoms: I have sciatica down both sides of my body from my waist down the backs of my legs to my ankles. Been going to a physical therapist for about 2 months now. Not much relief. Been that way for about 3 months. I hope its not from the shot.
Release 10 — day 35, dose 3
Symptoms: None
Release 11 — day 21, dose 4
Symptoms: Really bad sore throat.
Release 11 — day 28, dose 4
Symptoms: Bad virus(?). Pretty sick. Went to Urgent care twice.
Release 12 — 3 months, dose 4
Symptoms: The backs of my legs are aching badly
Release 12 — 6 months, 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 | Cough | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | No adverse event | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release