Z4S-29374-32952
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 983 / WA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-13
Registered in v-safe
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2021-04-13
Dose 1 — Pfizer-BioNTech
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Fatigue — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Dizzy, tired knock out tired,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint painsAdult check-in
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2021-04-29
Survey response — day 14, dose 1MedDRA: Rash, Swelling, Taste disorder — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Rash, swelling taste issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Dose 2 — Pfizer-BioNTech
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-04
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2021-11-03
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Arthralgia, Hypoaesthesia, Joint stiffness, Joint swelling, Loss of consciousness, Musculoskeletal disorder, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I still cant taste or smell anything. Now all my joint have enlarged and hardened, they hurt. I also have had issues with passing out/ Blackouts. I have woken to half my body numb, my arm and hand not working. My face and all are still numb feeling . · Healthcare visit (other): They didnt believe me and said they didnt find anything wrong so they sent me away.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-11-04
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2022-05-05
Survey response — 12 months, dose 2MedDRA: Arthralgia, Bone pain, Myalgia, Pain — Feeling: Poor · 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 consultation, Emergency room or emergency department visitFree text: Sharp pains. Joint, bone, muscle pain moreMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Report sent to call center — 12 months, dose 2Be 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 · Emergency room or emergency department visit · 1 call case(s)
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2022-05-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-05 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-03 | Successful | Participant prefers to complete VAERS report online |
| 2022-05-05 | Successful 2022-05-06 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy, tired knock out tired,
Release 8 — day 14, dose 1
Symptoms: Rash, swelling taste issues
Release 10 — 6 months, dose 2
Symptoms: I still cant taste or smell anything. Now all my joint have enlarged and hardened, they hurt. I also have had issues with passing out/ Blackouts. I have woken to half my body numb, my arm and hand not working. My face and all are still numb feeling . cut off by CDC
Healthcare visit (other): They didnt believe me and said they didnt find anything wrong so they sent me away.
Release 11 — 12 months, dose 2
Symptoms: Sharp pains. Joint, bone, muscle pain more
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Musculoskeletal disorder | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release