ZAT-84470-08718
5 vaccinations
5 coded responses
6 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 117 / NY
- Registered
- 2022-11-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Dose 2 — Pfizer-BioNTech
-
2021-10-20
Dose 3 — Pfizer-BioNTech
-
2022-04-18
Dose 4 — Pfizer-BioNTech
-
2022-11-02
Registered in v-safe
-
2022-11-02
Dose 5 — Pfizer-BioNTech
-
2022-11-02
Survey response — day 0, dose 5MedDRA: Pain in extremity — Feeling: PoorFree text: Intermittent Painful squeezing in tips of toes (same w all the boosters)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-03
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Pre-existing disease, Psoriatic arthropathy — Feeling: Good · Joint painsFree text: Some ankle and wrist pain. But mild. Likely exacerbation of my psoriatic arthritis.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Survey response — days 1–6 daily, dose 5MedDRA: Condition aggravated, Musculoskeletal pain, Office visit, Pain in extremity, Pre-existing disease — Feeling: Poor · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Severe pain in the non-injected (right) shoulder blade and down the outside of my arm into my forearm. Extreme pain. I believe the booster is causing a severe flare up of my inflammatory autoimmune condition. · Healthcare visit (other): Office visit at one of my prescheduled dr appts.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Report sent to call center — days 1–6 daily, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-11-05
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: Good · Joint pains, Muscle or body achesFree text: My symptoms are much improved and hopefully on their way out.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-06
Survey response — days 1–6 daily, dose 5MedDRA: Musculoskeletal pain — Feeling: Good · Joint painsFree text: Pain much milder today around my right shoulder blade.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
-
2022-11-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Pfizer-BioNTech | No |
| 2 | 2021-03-21 | Pfizer-BioNTech | No |
| 3 | 2021-10-20 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
| 5 | 2022-11-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-04 | Successful 2022-11-07 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 0, dose 5
Systemic reaction (other): Intermittent Painful squeezing in tips of toes (same w all the boosters)
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Some ankle and wrist pain. But mild. Likely exacerbation of my psoriatic arthritis.
Systemic reaction (other): Severe pain in the non-injected (right) shoulder blade and down the outside of my arm into my forearm. Extreme pain. I believe the booster is causing a severe flare up of my inflammatory autoimmune condition.
Healthcare visit (other): Office visit at one of my prescheduled dr appts.
Systemic reaction (other): My symptoms are much improved and hopefully on their way out.
Systemic reaction (other): Pain much milder today around my right shoulder blade.
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 | Office visit | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Musculoskeletal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Psoriatic arthropathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release