Z36-16920-95360
4 vaccinations
5 coded responses
31 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 670 / KS
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-27
Dose 1 — Pfizer-BioNTech
-
2021-05-18
Registered in v-safe
-
2021-05-18
Dose 2 — Pfizer-BioNTech
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-21
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, DiarrheaAdult check-in
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-08
- 2021-06-17
- 2021-06-22
-
2021-06-29
Survey response — day 42, dose 2MedDRA: Condition aggravated, Pre-existing disease, Respiratory tract congestion, Sinus congestion — Feeling: GoodFree text: Additional and worsening cystic sores on my right arm and left leg, minor sinus and chest congestion.... I was out in the sun this past weekend and the natural vitamin D appears to, for now, has dried up some of the sores.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-17
- 2021-11-16
-
2022-05-11
Dose 3 — Pfizer-BioNTech
-
2022-05-15
Survey response — days 1–6 daily, dose 3MedDRA: Increased upper airway secretion, Secretion discharge — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: accumulated musics in my esphogusMedDRA releases: 2024-11 · check-in free text available
- 2022-05-17
- 2022-05-19
- 2022-05-26
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
-
2022-08-10
Survey response — 3 months, dose 3MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have experienced hives twice when I haven't experienced hives since I was six or seven years old.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-10
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-11
-
2022-08-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-27
Dose 4 — Pfizer-BioNTech
-
2022-11-02
Survey response — days 1–6 daily, dose 4MedDRA: Paranasal sinus discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-10
-
2022-11-17
Survey response — day 21, dose 4MedDRA: Chills, Cough, Increased viscosity of upper respiratory secretion, Nasal congestion, Nasal mucosal discolouration, Paranasal sinus hypersecretion, Pyrexia, Respiratory tract congestion, Sneezing, Sputum discoloured — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: thick Congestion (from milky to yellow to green) in throat and nostrils.... some sneezing; some drainage of sinuses; some light coughing (1 or 2 coughs here and there); chilling; no fever -- (unless a mild low grade one.... appears to clearing up.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-26
- 2022-12-01
- 2022-12-08
- 2023-01-29
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-27 | Pfizer-BioNTech | |
| 2 | 2021-05-18 | Pfizer-BioNTech | |
| 3 | 2022-05-11 | Pfizer-BioNTech | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-10 | Successful 2022-08-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — day 42, dose 2
Symptoms: Additional and worsening cystic sores on my right arm and left leg, minor sinus and chest congestion.... I was out in the sun this past weekend and the natural vitamin D appears to, for now, has dried up some of the sores.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): accumulated musics in my esphogus
Release 12 — 3 months, dose 3
Symptoms: I have experienced hives twice when I haven't experienced hives since I was six or seven years old.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): sinus pressure
Release 12 — day 21, dose 4
Symptoms: thick Congestion (from milky to yellow to green) in throat and nostrils.... some sneezing; some drainage of sinuses; some light coughing (1 or 2 coughs here and there); chilling; no fever -- (unless a mild low grade one.... appears to clearing up.
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 | Chills | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasal mucosal discolouration | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Increased upper airway secretion | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release