Z8X-93059-50448
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 967 / HI
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Dose 1 — Pfizer-BioNTech
-
2021-05-21
Registered in v-safe
-
2021-05-21
Survey response — day 14, dose 1MedDRA: Amnesia, Chills, Memory impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I continue to experience chills & memory lapses.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Dose 2 — Pfizer-BioNTech
-
2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-06-01
- 2021-06-09
-
2021-06-15
Survey response — day 21, dose 2MedDRA: Balance disorder, Cough, Headache, Nasal congestion, Neck pain, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nasal congestion, cough, headache, unsteady on my feet, sneezing, neck pain. Temporary only lasting a few hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-23
Survey response — day 28, dose 2MedDRA: Paranasal sinus discomfort, Rash, Skin irritation — Feeling: Fair · Be unable to work or attend schoolFree text: Irritable sinus discomfort.Skin irritation & rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
-
2021-07-07
Survey response — day 42, dose 2MedDRA: Back pain, Neck pain, Quarantine — 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 visitFree text: Severe Neck & back pain. Plan to seek medical attention tomorrow after my 14 day quarantine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Report sent to call center — day 42, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-13
- 2021-08-24
- 2021-11-23
-
2022-05-26
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Depression, Fatigue, Pain, Pre-existing disease — Feeling: Fair · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Often I feel much fatigue which trigger my fibromyalgia, chronic pain & especially severe depression.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Report sent to call center — 12 months, dose 2Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Pfizer-BioNTech | |
| 2 | 2021-05-25 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-07 | Unsuccessful | |
| 2022-05-26 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: I continue to experience chills & memory lapses.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): None
Release 9 — day 21, dose 2
Symptoms: Nasal congestion, cough, headache, unsteady on my feet, sneezing, neck pain. Temporary only lasting a few hours.
Release 9 — day 28, dose 2
Symptoms: Irritable sinus discomfort.Skin irritation & rash.
Release 9 — day 42, dose 2
Symptoms: Severe Neck & back pain. Plan to seek medical attention tomorrow after my 14 day quarantine.
Release 11 — 12 months, dose 2
Symptoms: Often I feel much fatigue which trigger my fibromyalgia, chronic pain & especially severe depression.
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 |
|---|---|---|---|---|
| SD | Amnesia | ○ | ✓ | ○ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Quarantine | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin irritation | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release