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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

  1. 2021-04-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-05
    Registered in v-safe
  3. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-05-19
    Dose 2 — Pfizer-BioNTech
  6. 2021-05-19
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Nausea, Pyrexia — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free 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
  10. 2021-05-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free 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
  11. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-06-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-05-19
    Survey response — 12 months, dose 2
    MedDRA: 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 consultation
    Free text: Contracted CoVid
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-05-19
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  22. 2022-05-20
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Pfizer-BioNTech
22021-05-19Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

2021-05-21

Systemic reaction (other): I

2021-05-22

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.

2021-05-23

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

2022-05-19

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

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SROAdverse reaction ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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