Z3K-23194-93304
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Registered in v-safe
- 2021-03-02
- 2021-03-03
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Abdominal painAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-22
Dose 2 — Pfizer-BioNTech
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Arthritis, Pre-existing disease, Raynaud's phenomenon, Sjogren's syndrome — Feeling: GoodFree text: Just a FYI - I have a compromised immune system, Sjogrens, Raynauds, & Soriatic Arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-06-21
- 2021-09-22
-
2021-11-27
Dose 3 — Pfizer-BioNTech
- 2021-11-27
-
2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Neck pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Neck painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-02
-
2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Tension headache — Feeling: Good · HeadacheFree text: Think a stress headache. Had an infustion for PSA today.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
-
2022-02-26
Survey response — 3 months, dose 3MedDRA: Condition aggravated, Gastrointestinal disorder, Pre-existing disease, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased SsA symptoms. Now on infusions as well as previous methotrexate (actually looking back we're worse this last year) One month of stomach issues Dec -end January & resistant sinus infection end January to present.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-26
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-23
-
2022-11-27
Survey response — 12 months, dose 3MedDRA: COVID-19, Cough, Headache, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Got COVID in September. Not sure from where. I mask because of immune system issues. I continue to experience a cough throughout the day & headaches at least every other day.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-28
- 2022-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-11-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Unsuccessful | |
| 2022-11-27 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Just a FYI - I have a compromised immune system, Sjogrens, Raynauds, & Soriatic Arthritis.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Neck pain
Systemic reaction (other): Think a stress headache. Had an infustion for PSA today.
Release 11 — 3 months, dose 3
Symptoms: Increased SsA symptoms. Now on infusions as well as previous methotrexate (actually looking back we're worse this last year) One month of stomach issues Dec -end January & resistant sinus infection end January to present.
Release 12 — 12 months, dose 3
Symptoms: Got COVID in September. Not sure from where. I mask because of immune system issues. I continue to experience a cough throughout the day & headaches at least every other day.
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 | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Raynaud's phenomenon | ✓ | ✓ | ✓ |
| SRO | Sjogren's syndrome | ✓ | ✓ | ✓ |
| SRO | Tension headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release