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
-
2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Pfizer-BioNTech
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2020-12-30
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-01-01
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: 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 professionalFree 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 rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams, Condition aggravated, Insomnia, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree 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
- 2021-01-07
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2021-01-20
Dose 2 — Pfizer-BioNTech
- 2021-01-29
- 2021-06-30
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2021-07-21
Survey response — 6 months, dose 2MedDRA: 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 activitiesFree 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 suspectedMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Survey response — 12 months, dose 2MedDRA: Cough, Oropharyngeal pain, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: FairFree text: Cough, sore throat ( covid test is negative x 2, probably postnasal drip)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-03 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Rash | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ○ | ○ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release