Z4X-26082-91318
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 287 / NC
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Pfizer-BioNTech
-
2021-05-05
Registered in v-safe
- 2021-05-05
- 2021-05-12
-
2021-05-19
Dose 2 — Pfizer-BioNTech
- 2021-05-19
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: IMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-22
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Nausea, Pyrexia — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I feel good from when I wake up in the morningsuntil late afternoon/early evening when these symptoms show up and that's when I start feeling bad. It's 16:20 now and around 16:00 I started feeling these symptoms coming back. My headache progresses, I'm starting to feel feverish and that I might start chilling, a bit of nausea, and more fatigued. I'm not feeling bad the entire 24 hour period. But, when evening is drawing near, here it starts coming. Ugh.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: My statement today is the same as yesterday. Please refer back to it. The symptoms last evening were not at all of the same intensity as previous evenings, much milder. Thank goodness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-25
- 2021-05-28
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-25
- 2021-08-18
- 2021-11-17
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2022-05-19
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · 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: Contracted CoVidMedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
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 · 1 call case(s)
-
2022-05-20
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Pfizer-BioNTech | |
| 2 | 2021-05-19 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-19 | Successful 2022-05-20 |
Does not wish to fill out VAERS report |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I
Systemic reaction (other): I feel good from when I wake up in the morningsuntil late afternoon/early evening when these symptoms show up and that's when I start feeling bad. It's 16:20 now and around 16:00 I started feeling these symptoms coming back. My headache progresses, I'm starting to feel feverish and that I might start chilling, a bit of nausea, and more fatigued. I'm not feeling bad the entire 24 hour period. But, when evening is drawing near, here it starts coming. Ugh.
Systemic reaction (other): My statement today is the same as yesterday. Please refer back to it. The symptoms last evening were not at all of the same intensity as previous evenings, much milder. Thank goodness.
Release 11 — 12 months, dose 2
Symptoms: Contracted CoVid
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 | COVID-19 | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release