Z77-31162-30695
4 vaccinations
11 coded responses
54 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 973 / OR
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-15
-
2021-01-16
Dose 2 — Pfizer-BioNTech
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Insomnia last night, which is common for me but was a bit worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
-
2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Insomnia, Tinnitus — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Very bad insomnia last night with slight dizziness and intermittent tinnitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness, DiarrheaFree text: DizzynessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-30
- 2021-02-08
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-04-17
- 2021-07-17
-
2021-09-29
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, DiarrheaFree text: Low appetite. Gradual improvement in all symptoms throughout day.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Headache — Feeling: Good · Site: Pain · Chills, HeadacheFree text: Chills and headache worse first thing this morning.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: PainFree text: Insomnia- worse than usual but chronic problem for me.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: Good · Headache, Fatigue or tirednessFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-12-29
- 2022-03-30
-
2022-04-08
Dose 4 — Pfizer-BioNTech
-
2022-04-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-10
-
2022-04-11
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Insomnia last night.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-12
- 2022-04-13
-
2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: GoodFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Oropharyngeal pain, SARS-CoV-2 test — 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 consultationFree text: Symptoms: Sore throat · Healthcare visit (other): Get Covid testMedDRA releases: 2024-11 · check-in free text available
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2022-07-08
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-07-11
Call successfulNot applicable - Accidental Reporting
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2022-10-07
Survey response — 6 months, dose 4MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: Woke up with sore throat today. Home Covid test negative.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-16 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-08 | Successful 2022-07-11 |
Not applicable - Accidental Reporting |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia last night, which is common for me but was a bit worse.
Systemic reaction (other): Very bad insomnia last night with slight dizziness and intermittent tinnitis
Systemic reaction (other): Dizzyness
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Low appetite. Gradual improvement in all symptoms throughout day.
Systemic reaction (other): Chills and headache worse first thing this morning.
Systemic reaction (other): Insomnia- worse than usual but chronic problem for me.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Insomnia
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Insomnia last night.
Systemic reaction (other): Insomnia
Release 12 — 3 months, dose 4
Release 12 — 6 months, dose 4
Symptoms: Woke up with sore throat today. Home Covid test 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 |
|---|---|---|---|---|
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release