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Z9E-30966-56142

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
314 / GA
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Registered in v-safe
  2. 2021-03-15
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-15
    Survey response — day 0, dose 1
    MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Cant concentrate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Confusional state, Head discomfort, Pollakiuria, Poor quality sleep — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Very edgy last night, confusion and my head felt like it had lead weighing it down. Urinated much more then normal. Sleep was poor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disturbance in attention, Pain — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Still not feeling focused and little pains around my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disturbance in attention — Feeling: Good
    Free text: Im still having concentration issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-12
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-12
    Survey response — 3 months, dose 2
    MedDRA: Lower respiratory tract infection, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Very bad chest cold and sharp pains I. Random areas of my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-10-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-04-12
    Survey response — 12 months, dose 2
    MedDRA: Back pain, Injection site cyst, Injection site swelling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Bump in my arm where the shot was. Doctor says it's a syst and I've had lower back pain · Healthcare visit (other): My regular doctor
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-12
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-04-19
    Call successful
    Not applicable - Accidental Reporting

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Pfizer-BioNTech
22021-04-12Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-04-12 Successful
2022-04-19
Not applicable - Accidental Reporting

Free text

Release 5 — day 0, dose 1

2021-03-15

Systemic reaction (other): Cant concentrate

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Very edgy last night, confusion and my head felt like it had lead weighing it down. Urinated much more then normal. Sleep was poor.

2021-03-17

Systemic reaction (other): Still not feeling focused and little pains around my body

2021-03-19

Systemic reaction (other): Im still having concentration issues

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Very bad chest cold and sharp pains I. Random areas of my body

Release 11 — 12 months, dose 2

2022-04-12

Symptoms: Bump in my arm where the shot was. Doctor says it's a syst and I've had lower back pain
Healthcare visit (other): My regular doctor

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 · · ✓
SDBack pain · · ✓
SDInjection site cyst · · ✓
SDInjection site swelling · · ✓
SDLower respiratory tract infection ✓ ✓ ✓
SDOffice visit · · ✓
SDPain ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODisturbance in attention ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPollakiuria ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓

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