Z4F-27368-86218
3 vaccinations
9 coded responses
39 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 559 / MN
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-02
Dose 2 — Pfizer-BioNTech
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dry skin, Erythema — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Site 2.5 inch diameter very hot, redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Site 3 inch diameter red hotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Site 3 inch red hot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Site 3 inch warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 7, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Site still warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-07-02
Survey response — 3 months, dose 2MedDRA: Herpes zoster, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Shingles on neck and right shoulder 2 weeks ago. I received one Shingles vaccine 18 years ago, severe skin reaction to it. · Healthcare visit (other): Medicated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-07-12
- 2021-10-01
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2021-11-09
Dose 3 — Pfizer-BioNTech
- 2021-11-09
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2021-11-10
Survey response — days 1–6 daily, dose 3MedDRA: Dry eye, Eye pain, Headache — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 3 hrs post shot, severe eyes dry & painful, then 16hrs later severe frontal headache for 18 hrs.MedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Injection site warmth — Feeling: Fair · Site: Swelling · Fever · Fatigue or tirednessFree text: Hot forehead, hot injection site.MedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2022-02-08
- 2022-05-10
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2022-11-09
Survey response — 12 months, dose 3MedDRA: Cough, Feeding disorder, Malaise, Office visit, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Viral infection, Weight decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: 6 weeks ago, started sore throat, fever 101.0 cough, runny nose, 3 neg covid tests (2 home & 1 lab). Lost 5 lbs in 2 days, unable to eat, but could drink water. Dr said it was a virus. Sick & cough lasted 4 weeks.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-02 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Site 2.5 inch diameter very hot, red
Systemic reaction (other): Site 3 inch diameter red hot
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Site 3 inch red hot.
Systemic reaction (other): Site 3 inch warm
Release 7 — day 7, dose 2
Systemic reaction (other): Site still warm.
Release 9 — 3 months, dose 2
Symptoms: Shingles on neck and right shoulder 2 weeks ago. I received one Shingles vaccine 18 years ago, severe skin reaction to it.
Healthcare visit (other): Medicated.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 3 hrs post shot, severe eyes dry & painful, then 16hrs later severe frontal headache for 18 hrs.
Systemic reaction (other): Hot forehead, hot injection site.
Release 12 — 12 months, dose 3
Symptoms: 6 weeks ago, started sore throat, fever 101.0 cough, runny nose, 3 neg covid tests (2 home & 1 lab). Lost 5 lbs in 2 days, unable to eat, but could drink water. Dr said it was a virus. Sick & cough lasted 4 weeks.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Dry eye | · | · | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release