Z6E-23749-14281
5 vaccinations
12 coded responses
65 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Pfizer-BioNTech
-
2021-04-03
Registered in v-safe
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-04-05
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Migraine — Feeling: Poor · Headache, Nausea · Be unable to workFree text: Lightheadedness. Migraine today, may or may not be related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
-
2021-04-24
Dose 2 — Pfizer-BioNTech
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Neuralgia, Pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches · Be unable to workFree text: Shooting nerve pain from hips to legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Good · HeadacheFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-08
- 2021-05-15
-
2021-05-22
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Recurring joint pain, esp. Hip and left SI joint.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-06-05
- 2021-07-24
-
2021-10-22
Dose 3 — Pfizer-BioNTech
- 2021-10-23
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Pain of skin — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolFree text: Tender skinMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-07
Dose 4 — Moderna
- 2022-04-07
-
2022-04-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2022-04-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-12
- 2022-04-13
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
-
2022-05-12
Survey response — day 35, dose 4MedDRA: Cough, Decreased appetite, Fatigue, Headache, Nasal congestion — Feeling: FairFree text: Fatigue Nasal congestion Dry cough Headaches Reduced appetiteMedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
Survey response — day 42, dose 4MedDRA: Abdominal pain, Diarrhoea, Headache, Myalgia — Feeling: FairFree text: Headache Muscle aches Abdominal cramps & loose stoolMedDRA releases: 2024-11 · check-in free text available
- 2022-07-07
-
2022-09-29
Dose 5 — ModernaCo-administered: Flu
-
2022-09-30
Survey response — days 1–6 daily, dose 5MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
-
2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Migraine, Nausea — Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Unable to determine whether migraine/nausea were a result of vaccines or separate event.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
-
2022-11-10
Survey response — day 42, dose 5MedDRA: Cough, Dizziness, Headache, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headache, sneezing, runny nose, cough, dizziness. Home testing for Covid-19 was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-29
-
2023-03-30
Survey response — 6 months, dose 5MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 5Be 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)
- 2023-03-31
-
2023-04-10
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-09-29 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-30 | Successful 2023-04-10 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheadedness. Migraine today, may or may not be related.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Shooting nerve pain from hips to legs
Systemic reaction (other): Migraine
Systemic reaction (other): Migraine
Release 8 — day 28, dose 2
Symptoms: Recurring joint pain, esp. Hip and left SI joint.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tender skin
Release 11 — day 35, dose 4
Symptoms: Fatigue Nasal congestion Dry cough Headaches Reduced appetite
Release 11 — day 42, dose 4
Symptoms: Headache Muscle aches Abdominal cramps & loose stool
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Tinnitus
Systemic reaction (other): Unable to determine whether migraine/nausea were a result of vaccines or separate event.
Release 12 — day 42, dose 5
Symptoms: Headache, sneezing, runny nose, cough, dizziness. Home testing for Covid-19 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 | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release