Z8Y-21520-93000
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 299 / SC
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Pfizer-BioNTech
-
2021-03-09
Registered in v-safe
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Good · Site: PainFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-03-31
Dose 2 — Pfizer-BioNTech
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 2MedDRA: Anxiety, Mass, Medical counselling, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: A lump appeared on side where I got the vaccine above my collarbone. Felt like I had a sore throat but then discovered the lump. Called teledoc prescribed an antibiotic. No improv. Its been 6 days. Have oncologist appointment Monday. Very anxio · Healthcare visit (other): Now have oncologist appt 4/19MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 14, 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)
-
2021-04-21
Survey response — day 21, dose 2MedDRA: Mass, Office visit — Feeling: Poor · Be unable to work, 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: Symptoms: Still have a lump above collar bone. Saw an ENT and an oncologist. Getting a ultrasound and biopsy · Healthcare visit (other): ENT and oncologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Report sent to call center — day 21, 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)
- 2021-04-28
- 2021-05-07
-
2022-04-01
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Successful | Does not wish to fill out VAERS report |
| 2021-04-21 | Successful 2022-04-01 |
Does not wish to fill out VAERS report |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath
Release 7 — day 14, dose 2
Symptoms: A lump appeared on side where I got the vaccine above my collarbone. Felt like I had a sore throat but then discovered the lump. Called teledoc prescribed an antibiotic. No improv. Its been 6 days. Have oncologist appointment Monday. Very anxio
Healthcare visit (other): Now have oncologist appt 4/19
Release 7 — day 21, dose 2
Symptoms: Still have a lump above collar bone. Saw an ENT and an oncologist. Getting a ultrasound and biopsy
Healthcare visit (other): ENT and oncologist
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release