Z84-49330-85076
5 vaccinations
10 coded responses
66 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 277 / NC
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Pfizer-BioNTech
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Throat irritation — Feeling: GoodFree text: Scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-16
Dose 2 — Pfizer-BioNTech
-
2021-02-16
Health check-in — day 0, dose 2Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Injection site pain, Myalgia, Pain in extremity — Feeling: GoodFree text: Muscle pain in arm around injection areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
-
2021-05-18
Survey response — 3 months, dose 2MedDRA: Ankle fracture, Ankle operation, Fall — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Fell and broke my ankle. Had surgery 4/2/2021 · Healthcare visit (other): Ankle surgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
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2021-09-30
Dose 3 — Pfizer-BioNTech
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Throat irritation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Scratchy throat and mild coughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-03
- 2021-10-04
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: My trigeminal neuralgia started up again but doubt it has anything to do with vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
-
2022-02-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Cough, Office visit, Sinusitis, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sinusitis and cough 3 UTIs · Healthcare visit (other): Primary care visitMedDRA releases: 2024-11 · check-in free text available
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2022-03-31
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-05
Dose 4 — Pfizer-BioNTech
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2022-05-05
Survey response — day 0, dose 4MedDRA: Fatigue — Feeling: GoodFree text: Had the vaccine at 9 am today. Just feel tired.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
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2022-06-09
Survey response — day 35, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: I have trigeminal neuralgia. I had been in remission for a few months and it started up again.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
- 2022-08-04
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2022-10-22
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-10-24
- 2022-10-25
- 2022-10-26
- 2022-10-27
- 2022-10-28
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-26
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2022-12-03
Survey response — day 42, dose 5MedDRA: Fatigue, Lethargy — Feeling: GoodFree text: Very tired and lethargicMedDRA releases: 2024-11 · check-in free text available
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2023-01-21
Survey response — 3 months, dose 5MedDRA: COVID-19, Decreased appetite, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-05-05 | Pfizer-BioNTech | No |
| 5 | 2022-10-22 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-18 | Successful 2022-02-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-31 | Successful 2022-04-04 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Scratchy throat
Release 5 — day 28, dose 2
Symptoms: Muscle pain in arm around injection area
Release 8 — 3 months, dose 2
Symptoms: Fell and broke my ankle. Had surgery 4/2/2021
Healthcare visit (other): Ankle surgery
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Scratchy throat and mild cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My trigeminal neuralgia started up again but doubt it has anything to do with vaccine
Release 11 — 6 months, dose 3
Release 11 — day 0, dose 4
Systemic reaction (other): Had the vaccine at 9 am today. Just feel tired.
Release 12 — day 35, dose 4
Symptoms: I have trigeminal neuralgia. I had been in remission for a few months and it started up again.
Release 12 — day 42, dose 5
Symptoms: Very tired and lethargic
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 | Ankle operation | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Ankle fracture | ✓ | ✓ | ✓ |
| SD | Ankle operation | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ○ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ○ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release