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Z8G-17802-37864

5 vaccinations 7 coded responses 46 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
128 / NY
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-23
    Registered in v-safe
  2. 2021-02-23
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-09
    Survey response — day 14, dose 1
    MedDRA: Somnolence, Swelling face — Feeling: Good · Be unable to do your normal daily activities
    Free text: On Monday when I woke up my face was very swollen and I felt very sleepy until afternoon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-18
    Dose 2 — Pfizer-BioNTech
  14. 2021-03-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Free text: Lightheaded, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral coldness — Feeling: Good
    Free text: Since getting the 2nd dose of my vaccine I have had very cold hands and feet all day, everyday. This occurs even though I am exercising everyday (cardio, yoga, walking) and its warmer outside. I keep heavy socks and moccasins on. This is unusual for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-03
    Dose 3 — Pfizer-BioNTech
  30. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  31. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-04
    Survey response — 6 months, dose 3
    MedDRA: Influenza virus test, Laryngitis, Malaise, Pharyngeal swelling, SARS-CoV-2 test — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I was sick as out 3 weeks ago with a badly swollen throat and laryngitis. I was tested for COVID, Flu and strep.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-04
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2022-05-05
  46. 2022-05-20
    Dose 4 — Moderna
  47. 2022-10-11
    Dose 5 — Moderna
    Co-administered: Flu
  48. 2022-11-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  49. 2022-11-03
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-11-08
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-11-15
    Survey response — day 35, dose 5
    MedDRA: Bronchial irritation — Feeling: Good
    Free text: Some bronchial irritation
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-11-22
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  53. 2023-01-10
    Survey response — 3 months, dose 5
    MedDRA: COVID-19, Cough, Ear congestion, Medical counselling, Nasal congestion, Oropharyngeal pain, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  54. 2023-01-10
    Report sent to call center — 3 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  55. 2023-01-11
  56. 2023-01-11
  57. 2023-01-19
    Call successful
    Participant prefers to complete VAERS report online
  58. 2023-01-19
    Call successful
    Participant prefers to complete VAERS report online
  59. 2023-04-11
    Survey response — 6 months, dose 5
    MedDRA: Respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  60. 2023-04-11
    Report sent to call center — 6 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  61. 2023-04-12
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-23Pfizer-BioNTech
22021-03-18Pfizer-BioNTech
32021-11-03Pfizer-BioNTech No
42022-05-20Moderna No
52022-10-11Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-05-04 Successful
2023-01-19
 Participant prefers to complete VAERS report online
2023-01-10 Successful
2023-01-19
 Participant prefers to complete VAERS report online
2023-04-11 Successful
2023-04-12
 Does not wish to fill out VAERS report

Free text

Release 5 — day 14, dose 1

2021-03-09

Symptoms: On Monday when I woke up my face was very swollen and I felt very sleepy until afternoon.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Lightheaded, dizziness

2021-03-24

Systemic reaction (other): Since getting the 2nd dose of my vaccine I have had very cold hands and feet all day, everyday. This occurs even though I am exercising everyday (cardio, yoga, walking) and its warmer outside. I keep heavy socks and moccasins on. This is unusual for me.

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: I was sick as out 3 weeks ago with a badly swollen throat and laryngitis. I was tested for COVID, Flu and strep.

Release 12 — day 35, dose 5

2022-11-15

Symptoms: Some bronchial irritation

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
HCVOMedical counselling · · ✓
SDBronchial irritation · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDEar congestion · · ✓
SDInfluenza virus test · · ✓
SDLaryngitis · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPharyngeal swelling · · ✓
SDRespiratory tract infection · · ✓
SDSARS-CoV-2 test · · ✓
SDSinus congestion · · ✓
SDSomnolence ✓ ✓ ✓
SDSwelling face ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓

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

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