Z4W-12532-09982
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 365 / AL
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Pfizer-BioNTech
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2021-02-18
Survey response — day 0, dose 1MedDRA: Chest discomfort, Dry mouth, Headache, Pain in extremity, Vision blurred — Feeling: Good · HeadacheFree text: Arm sore, I had tightness in my chest when I got vaccinated, dry mouth and a slight headache, blurr vision it went away after a few minutes. Just have a slight headache and arm soreness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Swelling — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesFree text: The area around where I received the shot Id swollen and very painful to touch and lift my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-21
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-25
- 2021-03-05
-
2021-03-11
Dose 2 — Pfizer-BioNTech
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Site: Itching · Chills, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Have a cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-16
- 2021-03-17
-
2021-03-18
Health check-in — day 7, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-25
Survey response — day 14, dose 2MedDRA: Asthenia, Cough, Feeling abnormal, Influenza, Medical counselling, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · 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: I must had a cold dominant in my system. Two days after my last shot , I became very ill with the flu. Doctor order meds and I still havent been able to shake this flu. Its been awful. Fever, congestion, weak, running nose and constant coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-08
- 2021-04-17
- 2021-04-22
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-25 | Unsuccessful |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Arm sore, I had tightness in my chest when I got vaccinated, dry mouth and a slight headache, blurr vision it went away after a few minutes. Just have a slight headache and arm soreness.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): The area around where I received the shot Id swollen and very painful to touch and lift my arm.
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Have a cold.
Release 6 — day 14, dose 2
Symptoms: I must had a cold dominant in my system. Two days after my last shot , I became very ill with the flu. Doctor order meds and I still havent been able to shake this flu. Its been awful. Fever, congestion, weak, running nose and constant cough
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release