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Z6L-21116-11735

4 vaccinations 7 coded responses 46 check-ins 6 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
782 / TX
Registered
2021-03-05
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-05
    Registered in v-safe
  3. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Swelling · Joint pains
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Malaise — Feeling: Good · Fatigue or tiredness
    Free text: Just not feeling myself today so laying down mostly
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Medical counselling, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I went in yesterday for ultrasound Doppler for possible blood clot. Dont have any results too soon just slightly swollen thigh and leg. Doctor says could be sciatica so other than that Im good · Healthcare visit (other): Went to dr then appointment for ultrasound
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-03-25
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills
    Adult check-in
  17. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-25
    Dose 3 — Pfizer-BioNTech
  28. 2021-10-02
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea
    Adult check-in
  29. 2021-10-09
    Survey response — day 14, dose 3
    MedDRA: Injection site pain, Limb discomfort, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Arm of injection sight has aches and lab work done on 10/8 on that arm unsuccessful due to blood came out & was sitting in a pool in center fold of injection. Technician had to use left arm. My right arm had been bothering me, following up with dr · Healthcare visit (other): Have appointment 10/13
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-09
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-10-11
  32. 2021-10-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-10-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-10-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-03-26
    Survey response — 6 months, dose 3
    MedDRA: Hypoaesthesia, Office visit, Pain in extremity, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Never put 2 and 2 together but the arm I received all my boosters in now hurts constantly and feels numb with tingling fingers. Only on that arm. · Healthcare visit (other): Went to my pcp who ask if I maybe I lifted something heavy. This is 2nd time in 6 months for this arm.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-03-26
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  39. 2022-03-29
  40. 2022-05-22
    Dose 4 — Pfizer-BioNTech
  41. 2022-05-22
    Health check-in — day 0, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  42. 2022-05-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Arthralgia, Bradykinesia, Fatigue, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: The fatigue is for real, legs, hip joints everything hurts. I'm walking slowly with no sudden moves. Bed is where I'll be until this passes
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  44. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  45. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-05-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-05-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-05-29
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-06-05
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-06-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-06-19
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-06-26
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-08-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-11-20
    Survey response — 6 months, dose 4
    MedDRA: Headache, Pharyngeal disorder, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: I having runny nose, stressed throat, headaches
    MedDRA releases: 2024-11 · check-in free text available
  56. 2023-05-22
    Survey response — 12 months, dose 4
    MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11
  57. 2023-05-22
  58. 2023-05-23
  59. 2023-05-23
  60. 2023-05-23
  61. 2023-05-23

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Pfizer-BioNTech
22021-03-25Pfizer-BioNTech
32021-09-25Pfizer-BioNTech No
42022-05-22Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-18 Unsuccessful
2021-10-09 Unsuccessful
2022-03-26 Unsuccessful
2023-05-22 Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Just not feeling myself today so laying down mostly

Release 5 — day 14, dose 1

2021-03-18

Symptoms: I went in yesterday for ultrasound Doppler for possible blood clot. Dont have any results too soon just slightly swollen thigh and leg. Doctor says could be sciatica so other than that Im good
Healthcare visit (other): Went to dr then appointment for ultrasound

Release 10 — day 14, dose 3

2021-10-09

Symptoms: Arm of injection sight has aches and lab work done on 10/8 on that arm unsuccessful due to blood came out & was sitting in a pool in center fold of injection. Technician had to use left arm. My right arm had been bothering me, following up with dr
Healthcare visit (other): Have appointment 10/13

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Never put 2 and 2 together but the arm I received all my boosters in now hurts constantly and feels numb with tingling fingers. Only on that arm.
Healthcare visit (other): Went to my pcp who ask if I maybe I lifted something heavy. This is 2nd time in 6 months for this arm.

Release 11 — days 1–6 daily, dose 4

2022-05-23

Systemic reaction (other): The fatigue is for real, legs, hip joints everything hurts. I'm walking slowly with no sudden moves. Bed is where I'll be until this passes

Release 12 — 6 months, dose 4

2022-11-20

Symptoms: I having runny nose, stressed throat, headaches

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDCOVID-19 · · ✓
SDHeadache · · ✓
SDHypoaesthesia · · ✓
SDInjection site pain · · ✓
SDLimb discomfort · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPharyngeal disorder · · ✓
SDRhinorrhoea · · ✓
SROArthralgia · · ✓
SROBradykinesia · · ✓
SROFatigue · · ✓
SROMalaise ✓ ✓ ✓
SROPain · · ✓
SROPain in extremity · · ✓

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