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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

  1. 2021-03-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Good · Site: Pain
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-14
    Survey response — day 14, dose 2
    MedDRA: 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 visit
    Free 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 4/19
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-14
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-04-21
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free 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 oncologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-21
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Poor
    Adult check-in
  21. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-04-01
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Pfizer-BioNTech
22021-03-31Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-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

2021-03-09

Systemic reaction (other): Shortness of breath

Release 7 — day 14, dose 2

2021-04-14

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

2021-04-21

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAnxiety ✓ ✓ ✓
SDMass ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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