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Z73-15579-87569

4 vaccinations 9 coded responses 41 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
326 / FL
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-03
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-04
    Registered in v-safe
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-02-17
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Malaise — Feeling: Fair
    Free text: Lack of energy and a sort of malaise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-04
    Survey response — 6 months, dose 2
    MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have broken out in spots in the last week. So has my husband, so we don't know what that is. Some of the rest of the family that was on vacation together at (b)(6) Jul 3-10 also broke out in spots in the last week. Don't know cause.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  19. 2021-09-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Yesterday I felt awful. Today is better.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I've needed a nap every day since my booster. I didn't realize it might be related to the booster.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-04
    Survey response — day 7, dose 3
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: I just feel tired every day but still trying to keep busy
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-10-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-10-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-27
    Survey response — 3 months, dose 3
    MedDRA: Nasopharyngitis, Rhinorrhoea, Throat irritation — Feeling: Good
    Free text: Cold symptoms. Runny nose, scratchy throat, no headache or fever. Spent time with family members who had similar symptoms. They tested negative for Covid.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-03-28
    Survey response — 6 months, dose 3
    MedDRA: Throat irritation — Feeling: Good
    Free text: Scratchy throat last few days. Feeling better today
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-04-22
    Dose 4 — Pfizer-BioNTech
  33. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  34. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-01
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-07-22
    Survey response — 3 months, dose 4
    MedDRA: Cough, Dysphonia, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Sore throat, hoarse voice, slight cough, no fever. Tested negative for covid.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-22
    Survey response — 6 months, dose 4
    MedDRA: Brain fog, COVID-19, Fatigue, Pyrexia, Taste disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I got Covid on August 19, had a fever of 101.4, and took Paxlovid for 5 days, and then got rebound Covid. The whole thing lasted about a month. I had an off taste even after stopping the Paxlovid and I had brain fog and fatigue for a month.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-22
    Report sent to call center — 6 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  47. 2022-10-25
    Call successful
    Participant prefers to complete VAERS report online
  48. 2023-04-22
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Pfizer-BioNTech
22021-02-03Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No
42022-04-22Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-22 Successful
2022-10-25
Participant prefers to complete VAERS report online

Free text

Release 4 — day 14, dose 2

2021-02-17

Symptoms: Lack of energy and a sort of malaise

Release 9 — 6 months, dose 2

2021-08-04

Symptoms: I have broken out in spots in the last week. So has my husband, so we don't know what that is. Some of the rest of the family that was on vacation together at (b)(6) Jul 3-10 also broke out in spots in the last week. Don't know cause.
redacted (b)(6)

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Yesterday I felt awful. Today is better.

2021-10-03

Systemic reaction (other): I've needed a nap every day since my booster. I didn't realize it might be related to the booster.

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): I just feel tired every day but still trying to keep busy

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Cold symptoms. Runny nose, scratchy throat, no headache or fever. Spent time with family members who had similar symptoms. They tested negative for Covid.

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Scratchy throat last few days. Feeling better today

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Sore throat, hoarse voice, slight cough, no fever. Tested negative for covid.

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: I got Covid on August 19, had a fever of 101.4, and took Paxlovid for 5 days, and then got rebound Covid. The whole thing lasted about a month. I had an off taste even after stopping the Paxlovid and I had brain fog and fatigue for a month.

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
SDAsthenia ✓ ✓ ✓
SDBrain fog · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDysphonia · · ✓
SDFatigue · · ✓
SDMalaise ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRash ✓ · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTaste disorder · · ✓
SDThroat irritation · · ✓
SROFatigue · · ✓
SROFeeling abnormal · · ✓
SROSomnolence · · ✓

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