Z33-28166-41747
5 vaccinations
12 coded responses
68 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 241 / VA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Drainage, Nasopharyngitis — Feeling: Fair · Site: Pain · HeadacheFree text: Mild cold-like symptoms (nasal sinus drainage)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion — Feeling: Good · Site: PainFree text: Slight cold-like symptoms (sinus drainage) but I am almost normal todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Paranasal sinus hypersecretion — Feeling: GoodFree text: Slight amount of sinus drainage -MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Cold-like symptoms ( sinus drainage)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-18
Survey response — day 28, dose 2MedDRA: Heart rate irregular, Office visit, Palpitations, Rash, Specialist consultation — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increase in Heart Palpitations and more frequent irregular heartbeats. Lower leg rash during past week which have mostly subsided now. Had Primary Care Doctor visit & being seen by Cardiologist · Healthcare visit (other): In office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-26
- 2021-04-02
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: High blood pressure which I have never had before. ( I am almost 79 yrs old & female) · Healthcare visit (other): Primary Care Physician visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Hot flush, Unevaluable event — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Several Hot flashes during night. Normal temperature.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Very light pain at site now.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-12-29
- 2021-12-29
- 2021-12-31
- 2022-04-01
-
2022-04-26
Dose 4 — Pfizer-BioNTech
- 2022-04-26
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
-
2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms — Feeling: Good · Muscle or body achesFree text: Lower leg cramps in both legsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
-
2022-05-31
Survey response — day 35, dose 4MedDRA: Asthenia, Dizziness — Feeling: FairFree text: Dizziness when outside in warm weather. Very weak and no energy also.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-07
-
2022-07-26
Survey response — 3 months, dose 4MedDRA: Asthenia, Dizziness, Dyspnoea exertional, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shortness of breath when moving. Dizziness also. No stamina · Healthcare visit (other): Saw my primary physician and also my cardiologist.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-26
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-27
- 2022-07-27
- 2022-07-27
- 2022-10-25
-
2022-10-27
Dose 5 — Pfizer-BioNTech
- 2022-10-27
- 2022-10-28
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-05
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-28
-
2023-04-27
Survey response — 6 months, dose 5MedDRA: Dyspnoea, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-27
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-28
- 2023-04-28
- 2023-04-28
- 2023-04-28
-
2023-05-01
Callback requested for11:00AM ET
-
2023-05-01
Call successfulDoes not wish to fill out VAERS report
-
2023-05-01
Call successfulDoes not wish to fill out VAERS report
-
2023-05-01
Call successfulCompleted over the phone
-
2023-05-01
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-26 | Pfizer-BioNTech | No |
| 5 | 2022-10-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Successful 2023-05-01 |
Does not wish to fill out VAERS report |
| 2021-05-19 | Successful 2023-05-01 |
Does not wish to fill out VAERS report |
| 2022-07-26 | Successful 2023-05-01 |
Completed over the phone |
| 2023-04-27 | Successful 2023-05-01 |
Does not wish to fill out VAERS report |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild cold-like symptoms (nasal sinus drainage)
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Slight cold-like symptoms (sinus drainage) but I am almost normal today
Systemic reaction (other): Slight amount of sinus drainage -
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cold-like symptoms ( sinus drainage)
Release 5 — day 28, dose 2
Symptoms: Increase in Heart Palpitations and more frequent irregular heartbeats. Lower leg rash during past week which have mostly subsided now. Had Primary Care Doctor visit & being seen by Cardiologist
Healthcare visit (other): In office visit
Release 8 — 3 months, dose 2
Symptoms: High blood pressure which I have never had before. ( I am almost 79 yrs old & female)
Healthcare visit (other): Primary Care Physician visit
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Several Hot flashes during night. Normal temperature.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very light pain at site now.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lower leg cramps in both legs
Release 11 — day 35, dose 4
Symptoms: Dizziness when outside in warm weather. Very weak and no energy also.
Release 12 — 3 months, dose 4
Symptoms: Shortness of breath when moving. Dizziness also. No stamina
Healthcare visit (other): Saw my primary physician and also my cardiologist.
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 | Asthenia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Specialist consultation | ✓ | ✓ | ✓ |
| SRO | Drainage | ✓ | ✓ | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release