Z59-19114-34762
5 vaccinations
9 coded responses
37 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-09
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus — Feeling: Poor · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Strangely the 1st injection site was itchy on the opposite arm last night 5 hours after receiving the second dose in the other arm.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 2MedDRA: Oropharyngeal pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Postnasal drip, mild sore throat and mild congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold symptoms-runny nose, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Fatigue, Renal pain, Rhinorrhoea, Urinary tract infection — Feeling: Good · Fatigue or tirednessFree text: Runny nose, slight weakness/fatigue, diagnosed/treated for UTI 3 days after 2nd vaccination/Bactrim-kidney painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-11
- 2021-03-24
- 2021-04-02
- 2021-05-20
- 2021-08-18
-
2021-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-04
- 2021-10-05
- 2021-10-07
- 2021-10-14
- 2021-10-23
- 2022-04-07
-
2022-05-03
Dose 4 — Pfizer-BioNTech
-
2022-05-03
Survey response — day 0, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Mild dizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-08-03
-
2022-10-18
Dose 5 — Moderna
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2022-10-20
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Dizziness, Fatigue, Pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness right after vaccine for 18 hours, severe bodyaches chills and fatigue for 30 hours post vaccineMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-27
-
2022-11-29
Survey response — day 42, dose 5MedDRA: Colitis microscopic, Tinnitus — Feeling: Fair · Be unable to work or attend schoolFree text: Micro colitis worse, ear ringingMedDRA releases: 2024-11 · check-in free text available
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2023-01-17
Survey response — 3 months, dose 5MedDRA: COVID-19 — 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 consultationMedDRA releases: 2024-11
-
2023-01-17
Report sent to call center — 3 months, dose 5Be 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)
- 2023-01-18
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2023-01-18
Call successfulParticipant prefers to complete VAERS report online
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2023-04-20
Survey response — 6 months, dose 5MedDRA: COVID-19, Colitis microscopic, Endometrial thickening, Pancreatic failure — 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, Outpatient clinic or urgent care clinic visit, HospitalizationMedDRA releases: 2024-11
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2023-04-20
Report sent to call center — 6 months, dose 5Be 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 · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2023-04-21
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-03 | Pfizer-BioNTech | No |
| 5 | 2022-10-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-17 | Successful 2023-01-18 |
Participant prefers to complete VAERS report online |
| 2023-04-20 | Successful 2023-04-21 |
Does not wish to fill out VAERS report |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Strangely the 1st injection site was itchy on the opposite arm last night 5 hours after receiving the second dose in the other arm.
Systemic reaction (other): Postnasal drip, mild sore throat and mild congestion
Systemic reaction (other): Cold symptoms-runny nose, sore throat
Systemic reaction (other): Runny nose, slight weakness/fatigue, diagnosed/treated for UTI 3 days after 2nd vaccination/Bactrim-kidney pain
Release 11 — day 0, dose 4
Systemic reaction (other): Mild dizziness
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Dizziness right after vaccine for 18 hours, severe bodyaches chills and fatigue for 30 hours post vaccine
Release 12 — day 42, dose 5
Symptoms: Micro colitis worse, ear ringing
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 | Colitis microscopic | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Endometrial thickening | · | · | ✓ |
| SD | Pancreatic failure | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Renal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release