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ZA8-15221-91170

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
600 / IL
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  6. 2021-03-31
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Joint pains, Fatigue or tiredness
    Free text: About the same as i normally have
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysstasia, Gait disturbance — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: As the day goes on the is worse, standing & walking
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have arthritis, so I'm not sure if it is that getting worse or from the shot. Some times worse than other times.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  12. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-04-03
    Survey response — 12 months, dose 2
    MedDRA: Dizziness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: I have some dizzyness starting January, do not think it has anything to do with the covid-19 vaccination. I got my first booster Oct. 10, 2021. Thinking about the second one. · Healthcare visit (other): Also, saw a ear specialist, found no reason for the dizzyness either time.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-04-03
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  22. 2022-04-06
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Pfizer-BioNTech
22021-03-31Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2022-04-03 Successful
2022-04-06
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): About the same as i normally have

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): As the day goes on the is worse, standing & walking

2021-04-04

Systemic reaction (other): I have arthritis, so I'm not sure if it is that getting worse or from the shot. Some times worse than other times.

Release 11 — 12 months, dose 2

2022-04-03

Symptoms: I have some dizzyness starting January, do not think it has anything to do with the covid-19 vaccination. I got my first booster Oct. 10, 2021. Thinking about the second one.
Healthcare visit (other): Also, saw a ear specialist, found no reason for the dizzyness either time.

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
HCVODizziness · · ✓
HCVOOffice visit · · ✓
SDDizziness · · ✓
SROArthritis ✓ ✓ ✓
SRODysstasia ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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