ZAW-32687-96110
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Pfizer-BioNTech
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site reaction, Musculoskeletal stiffness, Myalgia — Feeling: Good · HeadacheFree text: about 4 hours of muscle ache/stiffness of upper arm where shot was given last evening. Gone by morning. Headache lasted about 3 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Arthritis — Feeling: Good · Joint pains, Fatigue or tirednessFree text: I have arthritis, so joint pain is baseline. Not really much worse than normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-28
- 2021-04-02
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2021-04-09
Survey response — day 21, dose 1MedDRA: Dermatitis contact, Impaired healing, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: *NOT related to the vaccine! Got poison ivy ... needed steroid ... had to cancel 2nd shot(sched for today). Waiting for (b)(6) to contact me about getting 2nd shot rescheduled. · Healthcare visit (other): phone consult only.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-18
Survey response — day 28, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: ***Symptoms UNRELATED to vaccine or COVIDHave serious case of poison ivy or oak. On steroid....last dose today. Intend to get vaccine ASAPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Dermatitis contact, Fatigue, Headache, Injection site discomfort, Injection site pain — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: mild ache & tender around injection site ... not really pain; chills were late last evening and some overnight but gone by am; tired today & mild headache. Still have poison ivy rash, but no new rash since the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-10-22
- 2022-02-12
-
2022-02-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-09 | Successful 2022-02-18 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): about 4 hours of muscle ache/stiffness of upper arm where shot was given last evening. Gone by morning. Headache lasted about 3 hours.
Systemic reaction (other): I have arthritis, so joint pain is baseline. Not really much worse than normal.
Release 7 — day 21, dose 1
Symptoms: *NOT related to the vaccine! Got poison ivy ... needed steroid ... had to cancel 2nd shot(sched for today). Waiting for (b)(6) to contact me about getting 2nd shot rescheduled.
Healthcare visit (other): phone consult only.
redacted (b)(6)
Release 7 — day 28, dose 1
Symptoms: ***Symptoms UNRELATED to vaccine or COVIDHave serious case of poison ivy or oak. On steroid....last dose today. Intend to get vaccine ASAP
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): mild ache & tender around injection site ... not really pain; chills were late last evening and some overnight but gone by am; tired today & mild headache. Still have poison ivy rash, but no new rash since the shot.
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 | Impaired healing | ○ | ✓ | ○ |
| HCVO | Medical counselling | ✓ | · | ✓ |
| SD | Dermatitis contact | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dermatitis contact | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release