Z8F-33974-17514
4 vaccinations
7 coded responses
37 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-21
Registered in v-safe
-
2021-02-21
Dose 1 — Pfizer-BioNTech
-
2021-02-21
Survey response — day 0, dose 1MedDRA: Headache — Feeling: GoodFree text: Very mild headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Sore around injection site. No rash. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
-
2021-03-14
Dose 2 — Pfizer-BioNTech
- 2021-03-23
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
- 2021-04-25
-
2021-06-13
Survey response — 3 months, dose 2MedDRA: Ear congestion, Office visit, Optic neuritis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I believe I have optic neuritis. I have an appointment tomorrow with a neuroOpthamologist. Also, my right ear is slightly congested and has been so for over a month. · Healthcare visit (other): 1. Appointment in person with my opthamologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-13
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-23
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Ear discomfort — Feeling: Good · Site: PainFree text: Right ear felt a little clogged, but that cleared up.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-30
- 2021-11-04
- 2021-11-11
- 2022-01-01
-
2022-03-31
Dose 4 — Pfizer-BioNTech
-
2022-03-31
Survey response — 6 months, dose 3MedDRA: Basal cell carcinoma — Feeling: GoodFree text: I've recently been diagnosed with basal cell carcinoma.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Survey response — day 14, dose 4MedDRA: Basal cell carcinoma — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Basal cell carcinoma on my forehead.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
- 2022-10-01
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-14 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-13 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-04-15 | Successful 2022-04-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Very mild headache
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore around injection site. No rash. Mild.
Release 9 — 3 months, dose 2
Symptoms: I believe I have optic neuritis. I have an appointment tomorrow with a neuroOpthamologist. Also, my right ear is slightly congested and has been so for over a month.
Healthcare visit (other): 1. Appointment in person with my opthamologist
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): None
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Right ear felt a little clogged, but that cleared up.
Release 11 — 6 months, dose 3
Symptoms: I've recently been diagnosed with basal cell carcinoma.
Release 11 — day 14, dose 4
Symptoms: Basal cell carcinoma on my forehead.
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 | Basal cell carcinoma | · | · | ✓ |
| SD | Ear congestion | ✓ | ✓ | ✓ |
| SD | Optic neuritis | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release