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Z8H-43853-69715

3 vaccinations 19 coded responses 35 check-ins 19 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
483 / MI
Registered
2021-03-20
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-20
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Just a little tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-10
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-10
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Free text: My right foot hurts.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Itching · Muscle or body aches
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  17. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Nope, Im just tired today!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-17
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-12
    Dose 3 — Pfizer-BioNTech
  28. 2021-10-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Site: Pain
    Free text: My shoulders have been giving me trouble. They hurt and sometimes I can barely lift them, especially my left one. On October 26 I have an appointment with the orthopedic doctor.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2021-10-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-21
    Survey response — day 7, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text:
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-26
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-02
    Survey response — day 21, dose 3
    MedDRA: Asthma, Pre-existing disease, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had a sinus infection and then an asthmatic bronchitis attack yesterday!
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-02
    Report sent to call center — day 21, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2021-11-04
  36. 2021-11-09
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-11-17
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-11-25
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  39. 2022-01-11
    Health check-in — 3 months, dose 3
    Feeling: Poor
    Adult check-in
  40. 2022-04-12
    Survey response — 6 months, dose 3
    MedDRA: Limb operation, Trigger finger — 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 · Outpatient clinic or urgent care clinic visit
    Free text: I had hand surgery for Trigger Finger on my right middle finger on April 1, 2022.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-04-12
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  42. 2022-04-13
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  43. 2022-10-14
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Pfizer-BioNTech
22021-04-10Pfizer-BioNTech
32021-10-12Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-02 Successful Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-12 Successful
2022-04-13
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Nope

2021-03-22

Systemic reaction (other): None

2021-03-23

Systemic reaction (other): No

2021-03-24

Systemic reaction (other): Just a little tired.

2021-03-25

Systemic reaction (other): Nope

2021-03-26

Systemic reaction (other): No

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): No

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): My right foot hurts.

2021-04-12

Systemic reaction (other): No

2021-04-15

Systemic reaction (other): No

2021-04-16

Systemic reaction (other): Nope, Im just tired today!

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-13

Systemic reaction (other): My shoulders have been giving me trouble. They hurt and sometimes I can barely lift them, especially my left one. On October 26 I have an appointment with the orthopedic doctor.

2021-10-18

Systemic reaction (other): No

Release 10 — day 7, dose 3

2021-10-21

Release 10 — day 21, dose 3

2021-11-02

Symptoms: I had a sinus infection and then an asthmatic bronchitis attack yesterday!

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: I had hand surgery for Trigger Finger on my right middle finger on April 1, 2022.

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
SDAsthma · · ✓
SDLimb operation · · ✓
SDPre-existing disease · · ✓
SDSinusitis · · ✓
SDTrigger finger · · ✓
SROArthralgia · · ✓
SROFatigue ✓ ✓ ✓
SROMobility decreased · · ✓
SRONo adverse event ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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