Z9K-21040-06054
5 vaccinations
9 coded responses
45 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 928 / CA
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-05
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-12
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Some diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-04-09
- 2021-07-11
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2022-01-08
- 2022-01-09
- 2022-04-08
-
2022-05-20
Dose 4 — Pfizer-BioNTech
-
2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-22
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph gland in armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodes in axilla-same arm as shotMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: GoodFree text: Still some minor lymph node swelling in left Scilla. Pain is lessMedDRA releases: 2024-11 · check-in free text available
-
2022-05-25
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: GoodFree text: Still have minor left axilla lymph node tendernessMedDRA releases: 2024-11 · check-in free text available
-
2022-05-26
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Very minimal lymph node swelling. It has definitely improved each dayMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Survey response — day 7, dose 4MedDRA: Tenderness — Feeling: GoodFree text: Just a little tender still under my left armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-25
- 2022-07-01
-
2022-08-19
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Developer a cold on July 24thMedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Dose 5 — Pfizer-BioNTech
- 2022-10-05
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — day 35, dose 5MedDRA: Cough, Exposure to communicable disease, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose and cough. Not COVID-negative test x 2. Was around my 2 yr old grandson who had a mild coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-05-20 | Pfizer-BioNTech | No |
| 5 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | priority 2/3 |
Free text
Release 4 — day 35, dose 2
Symptoms: Some diarrhea
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph gland in armpit
Systemic reaction (other): Swollen lymph nodes in axilla-same arm as shot
Systemic reaction (other): Still some minor lymph node swelling in left Scilla. Pain is less
Systemic reaction (other): Still have minor left axilla lymph node tenderness
Systemic reaction (other): Very minimal lymph node swelling. It has definitely improved each day
Release 11 — day 7, dose 4
Systemic reaction (other): Just a little tender still under my left armpit
Release 12 — 3 months, dose 4
Symptoms: Developer a cold on July 24th
Release 12 — day 35, dose 5
Symptoms: Runny nose and cough. Not COVID-negative test x 2. Was around my 2 yr old grandson who had a mild cold
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release