Z56-16909-54288
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 720 / AR
- Registered
- 2020-12-16
- Relationship
- Self
Timeline
-
2020-12-15
Dose 1 — Pfizer-BioNTech
-
2020-12-16
Registered in v-safe
-
2020-12-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2020-12-17
- 2020-12-18
- 2020-12-19
- 2020-12-21
- 2020-12-22
-
2020-12-29
Survey response — day 14, dose 1MedDRA: COVID-19, Malaise, SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: I developed Covid. Symptoms started 12/24, and tested positive on 12/26 · Healthcare visit (other): Had to go for Covid testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-05
Survey response — day 21, dose 1MedDRA: COVID-19, Sciatica — Feeling: Fair · Be unable to work, 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 was diagnosed with CoVid 11 days after vaccine. Also developed sciatica on 1/5/2021- do not think either is related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-05
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-07
Survey response — day 28, dose 1MedDRA: COVID-19, Sciatica — Feeling: Fair · Be unable to work, 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 developed Covid on 24th. I developed sciatica a few days ago- neither are felt to be related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalno matching call case
- 2021-01-11
- 2021-01-17
- 2021-01-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-15 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-29 | Unsuccessful | |
| 2021-01-05 | Unsuccessful |
1 report(s) with no call case — see the timeline.
Free text
Release 1 — day 14, dose 1
Symptoms: I developed Covid. Symptoms started 12/24, and tested positive on 12/26
Healthcare visit (other): Had to go for Covid test
Release 1 — day 21, dose 1
Symptoms: I was diagnosed with CoVid 11 days after vaccine. Also developed sciatica on 1/5/2021- do not think either is related to the vaccine.
Release 1 — day 28, dose 1
Symptoms: I developed Covid on 24th. I developed sciatica a few days ago- neither are felt to be related to the vaccine
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release