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Z5F-20719-09684

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
968 / HI
Registered
2021-04-11
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-08
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-11
    Registered in v-safe
  4. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Dizziness, Fatigue, Injection site pain, Musculoskeletal stiffness, Nausea, Pain in extremity, Pyrexia, Vertigo — Feeling: Good · 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
    Free text: Not too much of any but right after the shot I experienced pain at the point of shot& upper arm, nausea, dizzyness, muscle stiffness,fatigue, low grade temperature the day after.Episode of vertigo the day of, before and one episode of vertigo the morning after the shot.Light nausea persisted until 3 days after. A brief chill. All symptoms after 2nd shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: mild lightheadedness, 3-2 shirt episodes minor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  8. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-04-29
    Survey response — day 21, dose 2
    MedDRA: Brain fog, Muscle tightness — Feeling: Fair
    Free text: Slight brain fogTightening leg muscles
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-06
    Survey response — day 28, dose 2
    MedDRA: Poor quality sleep — Feeling: Fair
    Free text: Poor sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-07-08
    Survey response — 3 months, dose 2
    MedDRA: Balance disorder — Feeling: Good
    Free text: Slightly off balance once in a while
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-10-09
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea exertional — Feeling: Good
    Free text: Slight shortness if breath when going for walk
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-03-25

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Pfizer-BioNTech
22021-04-08Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-04-11 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Not too much of any but right after the shot I experienced pain at the point of shot& upper arm, nausea, dizzyness, muscle stiffness,fatigue, low grade temperature the day after.Episode of vertigo the day of, before and one episode of vertigo the morning after the shot.Light nausea persisted until 3 days after. A brief chill. All symptoms after 2nd shot.

2021-04-13

Systemic reaction (other): mild lightheadedness, 3-2 shirt episodes minor

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Slight brain fogTightening leg muscles

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Poor sleep

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Slightly off balance once in a while

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Slight shortness if breath when going for walk

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
SDBalance disorder ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDDyspnoea exertional · · ✓
SDMuscle tightness ✓ ✓ ✓
SDPoor quality sleep ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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

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