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Z47-11783-18918

4 vaccinations 10 coded responses 28 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
902 / CA
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-24
    Registered in v-safe
  2. 2021-02-24
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-24
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Free text: I figure my issue has to do with my asthma not the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthma, Cough, Pre-existing disease — Feeling: Good
    Free text: just coughing due to my asthma
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness
    Free text: alot of congested coughing. I'm having asthma issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-03
    Survey response — day 7, dose 1
    MedDRA: Asthma, Cough, Pre-existing disease, Productive cough — Feeling: Good
    Free text: alot of coughing up flem probably due to my asthma
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-17
    Dose 2 — Pfizer-BioNTech
  13. 2021-03-17
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good · Fatigue or tiredness
    Free text: ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good · Headache
    Free text: still have the ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Nausea · Be unable to do your normal daily activities
    Free text: dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness, Abdominal pain
    Adult check-in
  21. 2021-03-31
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea, Nausea — Feeling: Good
    Free text: Some dierria one day and a couple of days of nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: Chest pain, Dizziness, Muscle spasms — Feeling: Fair
    Free text: Light headed, leg cramps,some small chest pains recently.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-22
    Dose 3 — Pfizer-BioNTech
  29. 2022-03-17
    Survey response — 12 months, dose 2
    MedDRA: Hypoaesthesia, Office visit, Transient ischaemic attack — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had numbness on side of face after booster. Had small stroke · Healthcare visit (other): face to face
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-03-17
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2022-03-18
  32. 2022-10-20
    Dose 4 — Pfizer-BioNTech
  33. 2022-12-04
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  34. 2023-01-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  35. 2023-04-20
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Pfizer-BioNTech
22021-03-17Pfizer-BioNTech
32021-10-22Pfizer-BioNTech No
42022-10-20Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-17 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): I figure my issue has to do with my asthma not the vaccine.

2021-02-26

Systemic reaction (other): just coughing due to my asthma

2021-03-01

Systemic reaction (other): alot of congested coughing. I'm having asthma issues.

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): alot of coughing up flem probably due to my asthma

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): ear ache

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): still have the ear ache

2021-03-23

Systemic reaction (other): dizzy

Release 6 — day 14, dose 2

2021-03-31

Symptoms: Some dierria one day and a couple of days of nausea.

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Light headed, leg cramps,some small chest pains recently.

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Had numbness on side of face after booster. Had small stroke
Healthcare visit (other): face to face

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDChest pain · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness · · ✓
SDHypoaesthesia · · ✓
SDMuscle spasms · · ✓
SDNausea ✓ ✓ ✓
SDTransient ischaemic attack · · ✓
SROAsthma ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROProductive cough ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release