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Z5Y-42210-00440

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
197 / DE
Registered
2020-12-30
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia, Rash, Rash erythematous, Rash pruritic — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Itchy red bumpy rash on ankles,elbows hands, feet and knees. Difficulty sleeping · Healthcare visit (other): I am making a appointment with a dermatologist for skin rash
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams, Condition aggravated, Insomnia, Pre-existing disease — Feeling: Fair · Fatigue or tiredness
    Free text: I have had a very hard time sleeping since my first vaccination and forgot to mention it. I have been under treatment for insomnia for years but I have noticed that when I do fall asleep I am having having very vivid / distressing dreams.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-01-20
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-29
  13. 2021-06-30
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-07-21
    Survey response — 6 months, dose 2
    MedDRA: Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: On 7/7/2021 I had a sore throat , Low grade ,fever cough and congestion. & runny nose lasted 10 days.had 2 PCR COVID-19 test done,both negative and a rapid strep &strep cx both negative. Still have lingering cough. URI suspected
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-20
    Survey response — 12 months, dose 2
    MedDRA: Cough, Oropharyngeal pain, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Fair
    Free text: Cough, sore throat ( covid test is negative x 2, probably postnasal drip)
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Pfizer-BioNTech
22021-01-20Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-03 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Itchy red bumpy rash on ankles,elbows hands, feet and knees. Difficulty sleeping
Healthcare visit (other): I am making a appointment with a dermatologist for skin rash

2021-01-05

Systemic reaction (other): I have had a very hard time sleeping since my first vaccination and forgot to mention it. I have been under treatment for insomnia for years but I have noticed that when I do fall asleep I am having having very vivid / distressing dreams.

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: On 7/7/2021 I had a sore throat , Low grade ,fever cough and congestion. & runny nose lasted 10 days.had 2 PCR COVID-19 test done,both negative and a rapid strep &strep cx both negative. Still have lingering cough. URI suspected

Release 10 — 12 months, dose 2

2022-01-20

Symptoms: Cough, sore throat ( covid test is negative x 2, probably postnasal drip)

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
HCVORash ✓ ✓ ✓
HCVOSpecialist consultation ○ ○ ○
SDCough · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUpper respiratory tract infection · · ✓
SDUpper-airway cough syndrome · · ✓
SROAbnormal dreams ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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