Z5X-25245-47028
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Dose 1 — Pfizer-BioNTech
-
2021-04-12
Registered in v-safe
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Muscle swelling, Myalgia — Feeling: Good · Site: ItchingFree text: I had tenderness and swelling of muscles (trapezius?) between where shot was and neck. This was about 12 hours after shot and lasted a few hours til I went to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-27
-
2021-05-02
Dose 2 — Pfizer-BioNTech
- 2021-05-02
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Musculoskeletal chest pain, Painful respiration, Sleep disorder, Tenderness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My rib cage was very sore throughout the night when any pressure was applied. Could not sleep on side; had to sleep on back. Even breathing in deeply and expanding lungs put pressure on rib cage that was sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Swelling of eyelid — Feeling: FairFree text: Swollen eyelidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-08
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-31
- 2021-06-06
- 2021-06-13
- 2021-08-01
- 2021-10-31
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2021-12-08
Dose 3 — Janssen/Johnson & Johnson
-
2022-05-02
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had two colds in 2022 I'm not sure when my last check-in with VSafe was. It would be helpful if you provided that date.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-03
Call successfulNot applicable - Accidental Reporting
- 2022-06-08
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Pfizer-BioNTech | |
| 2 | 2021-05-02 | Pfizer-BioNTech | |
| 3 | 2021-12-08 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-02 | Successful 2022-05-03 |
Not applicable - Accidental Reporting |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I had tenderness and swelling of muscles (trapezius?) between where shot was and neck. This was about 12 hours after shot and lasted a few hours til I went to sleep
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Systemic reaction (other): My rib cage was very sore throughout the night when any pressure was applied. Could not sleep on side; had to sleep on back. Even breathing in deeply and expanding lungs put pressure on rib cage that was sore.
Systemic reaction (other): Swollen eyelid
Release 11 — 12 months, dose 2
Symptoms: I have had two colds in 2022 I'm not sure when my last check-in with VSafe was. It would be helpful if you provided that date.
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ○ | ✓ | ○ |
| SRO | Muscle swelling | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | · | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release