Z9M-21444-52118
5 vaccinations
18 coded responses
54 check-ins
18 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 799 / TX
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Pfizer-BioNTech
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
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2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Rhinorrhoea, Sneezing, Throat irritation — Feeling: GoodFree text: Allergies, sneezing, runny nose, scratching thoart,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Throat irritation — Feeling: GoodFree text: Runny nose, scatchy thoartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rhinorrhoea, Throat irritation — Feeling: GoodFree text: Itching, scatching thoart, running noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — day 7, dose 1MedDRA: Nasal congestion, Throat irritation — Feeling: Fair · HeadacheFree text: Nasal congestion, scratchy thosrtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
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2021-01-14
Dose 2 — Pfizer-BioNTech
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2021-01-14
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, DiarrheaFree text: Runny nose started within 30 minutes of vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
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2021-01-18
Survey response — days 1–6 daily, dose 2MedDRA: Exposure to SARS-CoV-2 — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Exposed to +COVID coworker last weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: Good · Site: Itching · Chills, Fatigue or tirednessFree text: Cough, running noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
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2021-01-28
Survey response — day 14, dose 2MedDRA: Asthma, Hypersensitivity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flareup of my Asthma and allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-28
- 2021-04-15
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2021-09-09
Dose 3 — Pfizer-BioNTech
- 2021-09-09
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2021-09-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-09-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-09-13
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2021-09-14
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — Feeling: Fair · Fever · ChillsFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
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2021-09-15
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Headache, DiarrheaFree text: Allergy symptomsMedDRA releases: 2024-11 · check-in free text available
- 2021-09-18
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2021-09-23
Survey response — day 14, dose 3MedDRA: Headache, Nasal congestion, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nasal congestion and headache · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-30
Survey response — day 21, dose 3MedDRA: Adverse reaction, Headache, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache, allergy type symptoms · Healthcare visit (other): Pharmacist consultMedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-07
- 2021-10-14
- 2021-10-22
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2021-11-11
Call successfulNot applicable - Accidental Reporting
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2021-11-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-10
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2022-04-21
Dose 4 — Pfizer-BioNTech
- 2022-04-21
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Asthma flare-upMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-04-24
- 2022-04-30
- 2022-05-05
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2022-05-12
Survey response — day 21, dose 4MedDRA: Adverse reaction, Headache, Throat irritation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergy symptoms not responding to my allergy meds, headache scrathy throat · Healthcare visit (other): New allergy medsMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-13
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2022-09-09
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-09
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2022-09-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tirednessAdult check-in
- 2022-09-12
- 2022-09-13
- 2022-09-14
- 2022-09-16
- 2022-09-23
- 2022-09-30
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2022-10-09
Survey response — day 28, dose 5MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: congestion, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
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2022-10-25
Survey response — day 42, dose 5MedDRA: Arthralgia, Chills, Cough, Fatigue, Headache, Office visit, Oropharyngeal pain, Wheezing — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Chills, sore throat, headache, cough, wheezing fatigue, joint pain, started yesterday · Healthcare visit (other): PCP visitMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — day 42, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-12-11
Survey response — 3 months, dose 5MedDRA: Office visit, Respiratory syncytial virus infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: RSV · Healthcare visit (other): PCP visitMedDRA releases: 2024-11 · check-in free text available
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2022-12-11
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-12
- 2022-12-15
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Pfizer-BioNTech | |
| 2 | 2021-01-14 | Pfizer-BioNTech | |
| 3 | 2021-09-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
| 5 | 2022-09-09 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | priority 2/3 | |
| 2021-09-23 | Successful 2021-11-11 |
Not applicable - Accidental Reporting |
| 2021-09-30 | Successful 2021-11-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-05-12 | Successful 2022-10-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-25 | Successful 2022-10-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-11 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Allergies, sneezing, runny nose, scratching thoart,
Systemic reaction (other): Runny nose, scatchy thoart
Systemic reaction (other): Itching, scatching thoart, running nose
Release 1 — day 7, dose 1
Systemic reaction (other): Nasal congestion, scratchy thosrt
Release 2 — day 0, dose 2
Systemic reaction (other): Runny nose started within 30 minutes of vaccination
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose
Systemic reaction (other): Exposed to +COVID coworker last week
Systemic reaction (other): Cough, running nose
Release 2 — day 14, dose 2
Symptoms: Flareup of my Asthma and allergies
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Nasal congestion
Systemic reaction (other): Allergy symptoms
Release 9 — day 14, dose 3
Release 9 — day 21, dose 3
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Asthma flare-up
Release 11 — day 21, dose 4
Symptoms: Allergy symptoms not responding to my allergy meds, headache scrathy throat
Healthcare visit (other): New allergy meds
Release 12 — day 28, dose 5
Symptoms: congestion, runny nose
Release 12 — day 42, dose 5
Symptoms: Chills, sore throat, headache, cough, wheezing fatigue, joint pain, started yesterday
Healthcare visit (other): PCP visit
Release 12 — 3 months, dose 5
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Asthma | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release