Z5R-22210-83316
3 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 549 / WI
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-02-28
Registered in v-safe
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-20
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I feel like carpal tunnel in wrist on arm where shot wasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Sensory disturbance, Vaccine positive rechallenge — Feeling: GoodFree text: Last. Night I felt like there was a lump under the same arm of shot. There was no actual lump, it just felt like there was too much fabric stuck under my arm, but there wasnt anything there. Same sensation as after the first shot,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Glands under both armpits are swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-02
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
-
2021-04-17
Survey response — day 21, dose 2MedDRA: Foreign body in eye, Headache, Hordeolum, Sensitivity to weather change — Feeling: GoodFree text: Stye in eye. Headaches on that side of my face. Not covid related. I was out inWindy sandy conditions and got debris in eye.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-01
- 2021-05-08
- 2021-06-26
- 2021-09-24
-
2021-10-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-04
-
2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-06
- 2021-10-07
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2022-01-03
- 2022-04-04
-
2022-10-04
Survey response — 12 months, dose 3MedDRA: Adverse reaction, Eye pruritus, Lethargy, SARS-CoV-2 test negative, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I had been feeling great but started with allergy type symptoms last wknd. Today I felt lethargic and the sinus and itching eye. I took a Covid test and it was negative.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | Flu |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I feel like carpal tunnel in wrist on arm where shot was
Systemic reaction (other): Last. Night I felt like there was a lump under the same arm of shot. There was no actual lump, it just felt like there was too much fabric stuck under my arm, but there wasnt anything there. Same sensation as after the first shot,
Systemic reaction (other): Glands under both armpits are swollen
Release 7 — day 21, dose 2
Symptoms: Stye in eye. Headaches on that side of my face. Not covid related. I was out inWindy sandy conditions and got debris in eye.
Release 12 — 12 months, dose 3
Symptoms: I had been feeling great but started with allergy type symptoms last wknd. Today I felt lethargic and the sinus and itching eye. I took a Covid test and it was negative.
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 | Adverse reaction | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Foreign body in eye | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sensitivity to weather change | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release