Z62-20529-99390
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 235 / VA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Registered in v-safe
- 2021-04-09
- 2021-04-14
-
2021-04-21
Dose 2 — Pfizer-BioNTech
-
2021-04-21
Survey response — day 0, dose 2MedDRA: Dizziness, Hunger, Immediate post-injection reaction — Feeling: GoodFree text: Wooziness about 45 min after the shot. That may just have been because I was hungry or still had my sunglasses on when it suddenly clouded up before a rain storm. +Low light gives me headaches). Have felt fine since home and laying downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-04-29
- 2021-05-05
- 2021-05-13
- 2021-05-19
- 2021-05-26
- 2021-06-02
-
2021-07-23
Survey response — 3 months, dose 2MedDRA: Cough, Gastrointestinal disorder, Lacrimation increased, Oropharyngeal pain, Rhinorrhoea, Unevaluable event — 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: Symptoms: Intestinal issues then a couple of weeks later a slight sore throat NO temp and a cough that was getting deeper. Dr gave me something for the cough, Doxycycline in case of bronchitis (get easily). Couple of days later watery right eye and rt nostril · Healthcare visit (other): Became I'll ONLY after I removed my mask ~ end of May.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
- 2021-07-30
- 2021-08-11
-
2021-09-02
Callback requested for07:00PM ET
- 2021-09-02
-
2021-09-02
Call successfulCompleted over the phone
- 2021-10-20
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Sniffles..runny nose last week. negative at-home Covid test. (Allergies maybe?)MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-23 | Successful 2021-09-02 |
Completed over the phone |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Wooziness about 45 min after the shot. That may just have been because I was hungry or still had my sunglasses on when it suddenly clouded up before a rain storm. +Low light gives me headaches). Have felt fine since home and laying down
Release 9 — 3 months, dose 2
Symptoms: Intestinal issues then a couple of weeks later a slight sore throat NO temp and a cough that was getting deeper. Dr gave me something for the cough, Doxycycline in case of bronchitis (get easily). Couple of days later watery right eye and rt nostril cut off by CDC
Healthcare visit (other): Became I'll ONLY after I removed my mask ~ end of May.
Release 11 — 12 months, dose 2
Symptoms: Sniffles..runny nose last week. negative at-home Covid test. (Allergies maybe?)
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Lacrimation increased | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release