Z6U-20167-27506
2 vaccinations
9 coded responses
22 check-ins
9 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 970 / OR
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-12
Dose 1 — Pfizer-BioNTech
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2021-04-13
Registered in v-safe
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
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2021-04-26
Survey response — day 14, dose 1MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: UTIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-03
Dose 2 — Pfizer-BioNTech
- 2021-05-03
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-05
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Antiallergic therapy, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Ive never experienced hives before but Ive had them for the past two days and had to take an antihistamine today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Third day of hives - very itchy all over. Advice nurse recommended Claritin to calm the reaction. Ive never experienced a reaction to a vaccine or medication before. I dont have any allergies so this is unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Self-medication, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Still itchy and taking the antihistamine. Fourth day of hives. Something Ive never had before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 7, dose 2MedDRA: Pruritus, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Itchy areas as described in previous days relief via antihistamine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 14, dose 2MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: The hives Ive gotten as a result of my 2nd Pfizer vaccine are still bothering me. I have never experienced hives before. They started on day 3 and are still flaring up on day 14. Antihistamine relieves symptoms but it is concerning that it continuMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-24
Survey response — day 21, dose 2MedDRA: Axillary pain, Urine odour abnormal, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Still some residual hives but greatly reduced. Some pain in the arm pit (same arm as injected ) also unusual odor to urine that lasted over a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
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2021-06-07
Survey response — day 35, dose 2MedDRA: Axillary pain, Pain in extremity, Urticaria — 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 consultationFree text: I still have hivess and Ive had pain in my left armpit and arm for several weeks. Im waiting for a reply from my doctor regarding the pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-14
Survey response — day 42, dose 2MedDRA: Axillary pain, Office visit, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Left armpit pain (same side as COVID injection). Hives are less frequent. I will go in for imaging on Thursday. Really amazing that it still is an issue over a month after the second dose. · Healthcare visit (other): Office visit and imagingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-14
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-17
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-08-02
- 2021-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Pfizer-BioNTech | |
| 2 | 2021-05-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-26 | Successful | |
| 2021-05-08 | Successful | |
| 2021-05-17 | Successful | |
| 2021-05-24 | Successful | |
| 2021-06-07 | Successful | |
| 2021-06-14 | Successful 2021-06-17 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 8 — day 14, dose 1
Symptoms: UTI
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Ive never experienced hives before but Ive had them for the past two days and had to take an antihistamine today.
Systemic reaction (other): Third day of hives - very itchy all over. Advice nurse recommended Claritin to calm the reaction. Ive never experienced a reaction to a vaccine or medication before. I dont have any allergies so this is unusual.
Systemic reaction (other): Still itchy and taking the antihistamine. Fourth day of hives. Something Ive never had before.
Release 8 — day 7, dose 2
Systemic reaction (other): Itchy areas as described in previous days relief via antihistamine.
Release 8 — day 14, dose 2
Symptoms: The hives Ive gotten as a result of my 2nd Pfizer vaccine are still bothering me. I have never experienced hives before. They started on day 3 and are still flaring up on day 14. Antihistamine relieves symptoms but it is concerning that it continu
Release 8 — day 21, dose 2
Symptoms: Still some residual hives but greatly reduced. Some pain in the arm pit (same arm as injected ) also unusual odor to urine that lasted over a week.
Release 8 — day 35, dose 2
Symptoms: I still have hivess and Ive had pain in my left armpit and arm for several weeks. Im waiting for a reply from my doctor regarding the pain.
Release 9 — day 42, dose 2
Symptoms: Left armpit pain (same side as COVID injection). Hives are less frequent. I will go in for imaging on Thursday. Really amazing that it still is an issue over a month after the second dose.
Healthcare visit (other): Office visit and imaging
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SD | Urine odour abnormal | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Antiallergic therapy | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release